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1770231300
CARTER MICHAEL PRENTICE
LOS ANGELES, CA
NPI
1770231300
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Former Name
CARTER MICHAEL GRIEST
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: CA 11507)
Enumeration Date
2022-03-14
Last Update Date
2023-12-03
Business Address
CARTER MICHAEL PRENTICE MD
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-5127
Phone number: 310-794-7788
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Mailing Address
CARTER MICHAEL PRENTICE MD
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-8358
Phone number: 424-467-5487
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