| Liliana Ibarra A Professional Corporation | |
|
2063 S Atlantic Blvd Ste D Monterey Park CA 91754-6345 | |
| (323) 265-4373 | |
| Not Available |
| Full Name | Liliana Ibarra A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2063 S Atlantic Blvd Ste D, Monterey Park, California |
| Authorized Official Name and Position | Liliana Ibarra (OWNER/DENTIST) |
| Authorized Official Contact | 3232654373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liliana Ibarra A Professional Corporation 3622 Mountain View Ave Pasadena CA 91107-4618 Ph: (626) 616-5405 | Liliana Ibarra A Professional Corporation 2063 S Atlantic Blvd Ste D Monterey Park CA 91754-6345 Ph: (323) 265-4373 |
| NPI Number | 1962871285 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962871285 | NPI | - | NPPES |
| B3981401 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39814 (California) | Primary |
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