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11156 Whittier Blvd Whittier CA 90606-1432 | |
| (562) 692-5311 | |
| (562) 692-2425 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11156 Whittier Blvd, Whittier, California |
| Authorized Official Name and Position | Martha L Gutierrez (PRESIDENT) |
| Authorized Official Contact | 5626925311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11156 Whittier Blvd Whittier CA 90606-1432 Ph: (562) 692-5311 | 11156 Whittier Blvd Whittier CA 90606-1432 Ph: (562) 692-5311 |
| NPI Number | 1114198868 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114198868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D44176 (California) | Primary |
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