MODESTO LUIS

SOUTH GATE, CA
NPI1720134091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  36401)
Enumeration Date2007-01-26
Last Update Date2007-07-09
Business Address
Dr. MODESTO LUIS DDS
4444 TWEEDY BLVD
SOUTH GATE, CA 90280-6304
Phone number: 323-564-2444
Mailing Address
Dr. MODESTO LUIS DDS
5238 LOS CABALLEROS WAY
LOS ANGELES, CA 90027-1012
Phone number:
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