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16018 Amar Rd City Of Industry CA 91744-2203 | |
| (626) 968-7525 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16018 Amar Rd, City Of Industry, California |
| Authorized Official Name and Position | Marissa Faeldan-suarez (DENTIST/OWNER) |
| Authorized Official Contact | 6269687525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16018 Amar Rd City Of Industry CA 91744-2203 Ph: (626) 968-7525 | 16018 Amar Rd City Of Industry CA 91744-2203 Ph: (626) 968-7525 |
| NPI Number | 1124457668 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124457668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 58944 (California) | Primary |
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