La Santos Starr Dental Corporation | |
1127 Wilshire Blvd Ste 404 Los Angeles CA 90017-3905 | |
(323) 600-5287 | |
Not Available |
Full Name | La Santos Starr Dental Corporation |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1127 Wilshire Blvd Ste 404, Los Angeles, California |
Authorized Official Name and Position | Amanda Dos Santos (MANAGER) |
Authorized Official Contact | 6192048082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Santos Starr Dental Corporation 6699 Alvarado Rd Ste 2202 San Diego CA 92120-5293 Ph: () - | La Santos Starr Dental Corporation 1127 Wilshire Blvd Ste 404 Los Angeles CA 90017-3905 Ph: (323) 600-5287 |
NPI Number | 1447912761 |
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Provider Enumeration Date | 10/13/2021 |
Last Update Date | 10/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447912761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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