NPI | 1740074459 |
---|---|
Former Legal Business Name | JOCELYNE VANESSA LARA DUENAS |
Entity Type | Organization |
Authorized Contact | JOCELYNE VANESSA LARA DUENAS Dentist 562-352-0417 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-04-07 |
Last Update Date | 2025-04-07 |