| Guadalupe L Pereira A Prof Corp | |
|
144 W Carson St Carson CA 90745-2601 | |
| (310) 835-4088 | |
| Not Available |
| Full Name | Guadalupe L Pereira A Prof Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 144 W Carson St, Carson, California |
| Authorized Official Name and Position | Maria Teresa Carretta (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 5627156135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guadalupe L Pereira A Prof Corp 144 W Carson St Carson CA 90745-2601 Ph: (310) 835-4088 | Guadalupe L Pereira A Prof Corp 144 W Carson St Carson CA 90745-2601 Ph: (310) 835-4088 |
| NPI Number | 1063083939 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063083939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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