NPI | 1124224985 |
---|---|
Doing Business As | MARY ANN CORPUS, DMD |
Entity Type | Organization |
Authorized Contact | MARY ANN AREVALO CORPUS Owner 818-788-7181 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA D41381) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-08-22 |