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1912071085
DANTE ATIENZA BANTA
LOS ANGELES, CA
NPI
1912071085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 00A440791)
Enumeration Date
2006-11-20
Last Update Date
2011-08-02
Business Address
Dr. DANTE ATIENZA BANTA MD
875 N WESTERN AVE
LOS ANGELES, CA 90029-3759
Phone number: 323-258-7568
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Mailing Address
Dr. DANTE ATIENZA BANTA MD
875 N WESTERN AVE
LOS ANGELES, CA 90029-3759
Phone number: 323-258-7568
Copy
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