DANTE ATIENZA BANTA

LOS ANGELES, CA
NPI1912071085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  00A440791)
Enumeration Date2006-11-20
Last Update Date2011-08-02
Business Address
Dr. DANTE ATIENZA BANTA MD
875 N WESTERN AVE
LOS ANGELES, CA 90029-3759
Phone number: 323-258-7568
Mailing Address
Dr. DANTE ATIENZA BANTA MD
875 N WESTERN AVE
LOS ANGELES, CA 90029-3759
Phone number: 323-258-7568
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