| Marissa Faeldan-suarez, Inc | |
|
5432 Sepulveda Blvd Suite B Culver City CA 90230-5512 | |
| (626) 379-1110 | |
| Not Available |
| Full Name | Marissa Faeldan-suarez, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5432 Sepulveda Blvd, Culver City, California |
| Authorized Official Name and Position | Marissa Faeldan-suarez (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6263791110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Faeldan-suarez, Inc 5432 Sepulveda Blvd Suite B Culver City CA 90230-5512 Ph: () - | Marissa Faeldan-suarez, Inc 5432 Sepulveda Blvd Suite B Culver City CA 90230-5512 Ph: (626) 379-1110 |
| NPI Number | 1770929747 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 05/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770929747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 58944 (California) | Primary |
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