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1972282317
CARLOS MAURICIO HENAO ORTEGA
LOS ANGELES, CA
NPI
1972282317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 109335)
Enumeration Date
2023-07-13
Last Update Date
2024-04-08
Business Address
Dr. CARLOS MAURICIO HENAO ORTEGA DDS
25044 PEACHLAND AVENUE SUITE 100
LOS ANGELES, CA 90089-5746
Phone number: 661-287-4352
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Mailing Address
Dr. CARLOS MAURICIO HENAO ORTEGA DDS
24515 ROSETTE LN
VALENCIA, CA 91354-3036
Phone number: 314-315-6999
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