| NPI | 1265906705 |
|---|---|
| Doing Business As | MIRIAM BUENAVENTURA DMD DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | ANGELO LINSANGAN Operations And Finance Manager 323-256-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |