AGNES C TISON

LOS ANGELES, CA
NPI1710016431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  42529)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
-- AGNES C TISON DDS
1112 N VIRGIL AVENUE
LOS ANGELES, CA 90029-2016
Phone number: 323-665-1208
Mailing Address
-- AGNES C TISON DDS
1112 N VIRGIL AVENUE
LOS ANGELES, CA 90029-2016
Phone number: 323-665-1208
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