| Leo Jireh C Abelita Dmd Inc | |
|
1809 And A Half Lomita Boulevard Lomita CA 90717-1905 | |
| (310) 539-1224 | |
| (310) 530-5796 |
| Full Name | Leo Jireh C Abelita Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1809 And A Half Lomita Boulevard, Lomita, California |
| Authorized Official Name and Position | Leo Jireh C Abelita (CEO PRESIDENT) |
| Authorized Official Contact | 3105391224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Jireh C Abelita Dmd Inc 1809 And A Half Lomita Boulevard Lomita CA 90717-1905 Ph: (310) 539-1224 | Leo Jireh C Abelita Dmd Inc 1809 And A Half Lomita Boulevard Lomita CA 90717-1905 Ph: (310) 539-1224 |
| NPI Number | 1215101324 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215101324 | NPI | - | NPPES |
| G9260602 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40521 (California) | Primary |
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