PORFIRIO S MARAVILLA

LOS ANGELES, CA
NPI1053492272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  32356)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Dr. PORFIRIO S MARAVILLA dentist
3540 WILSHIRE BLVD STE 208
LOS ANGELES, CA 90010-2346
Phone number: 213-388-2466
Mailing Address
Dr. PORFIRIO S MARAVILLA dentist
3540 WILSHIRE BLVD STE 208
LOS ANGELES, CA 90010-2346
Phone number: 213-388-2466