Myla Rodriguez-santiago, Dds, Inc. | |
1321 N Vermont Ave Suite 6 Los Angeles CA 90027-6307 | |
(323) 662-8354 | |
Not Available |
Full Name | Myla Rodriguez-santiago, Dds, Inc. |
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Speciality | Clinic/center - Dental |
Location | 1321 N Vermont Ave, Los Angeles, California |
Authorized Official Name and Position | Myla Rodriguez-santiago (PRESIDENT) |
Authorized Official Contact | 8187261597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Myla Rodriguez-santiago, Dds, Inc. 3323 Alabama St Glendale CA 91214-1231 Ph: () - | Myla Rodriguez-santiago, Dds, Inc. 1321 N Vermont Ave Suite 6 Los Angeles CA 90027-6307 Ph: (323) 662-8354 |
NPI Number | 1497157085 |
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Provider Enumeration Date | 09/25/2014 |
Last Update Date | 09/25/2014 |
Identifier | Type | State | Issuer |
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1497157085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 58558 (California) | Primary |
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