| Maridette Cunanan Dds Inc | |
|
3731 Wilshire Blvd Ste 625 Los Angeles CA 90010-2824 | |
| (213) 381-3738 | |
| Not Available |
| Full Name | Maridette Cunanan Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3731 Wilshire Blvd Ste 625, Los Angeles, California |
| Authorized Official Name and Position | Maridette Cunanan (OWNER, DENTIST) |
| Authorized Official Contact | 3609901034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maridette Cunanan Dds Inc 5333 Lemon Grove Ave Los Angeles CA 90038-4005 Ph: (360) 990-1034 | Maridette Cunanan Dds Inc 3731 Wilshire Blvd Ste 625 Los Angeles CA 90010-2824 Ph: (213) 381-3738 |
| NPI Number | 1962001347 |
|---|---|
| Provider Enumeration Date | 10/18/2020 |
| Last Update Date | 10/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962001347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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