| NPI | 1306398680 |
|---|---|
| Doing Business As | SAN ANGEL DENTAL, OFFICE OF MIA ANCHETA |
| Entity Type | Organization |
| Authorized Contact | MIA LARISSA ANCHETA CEO 562-927-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 47839) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2022-10-25 |