IDENIS FUNDORA

LOS ANGELES, CA
NPI1114297447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  47621)
Enumeration Date2012-01-03
Last Update Date2012-01-03
Business Address
Dr. IDENIS FUNDORA DDS
9201 W SUNSET BLVD STE 315
LOS ANGELES, CA 90069-3704
Phone number: 310-274-7124
Mailing Address
Dr. IDENIS FUNDORA DDS
9201 W SUNSET BLVD STE 315
LOS ANGELES, CA 90069-3704
Phone number: 310-274-7124
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