NPI | 1043701261 |
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Doing Business As | PEDRO J. CUARTAS, DDS, APDC |
Doing Business As | SOUTH LA DENTOFACIAL CENTER |
Entity Type | Organization |
Authorized Contact | PEDRO JOSE CUARTAS Owner/Dentist 985-872-3677 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA LA5237) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: LA 5237) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2018-06-16 |