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4157 Maine Ave Baldwin Park CA 91706-3309 | |
| (626) 337-1506 | |
| (626) 337-3573 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4157 Maine Ave, Baldwin Park, California |
| Authorized Official Name and Position | Esther Valmana (OWNER) |
| Authorized Official Contact | 6263371506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4157 Maine Ave Baldwin Park CA 91706-3309 Ph: (626) 337-1506 | 4157 Maine Ave Baldwin Park CA 91706-3309 Ph: (626) 337-1506 |
| NPI Number | 1174985360 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 03/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174985360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50541 (California) | Primary |
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