TATYANA PROSOLUPOVA

TORRANCE, CA
NPI1992315998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  105166)
Enumeration Date2020-08-04
Last Update Date2020-08-04
Business Address
TATYANA PROSOLUPOVA
1431 W KNOX ST STE 800
TORRANCE, CA 90501-1358
Phone number: 310-320-1180
Mailing Address
TATYANA PROSOLUPOVA
518 11TH ST APT C
HERMOSA BEACH, CA 90254-4296
Phone number: 213-239-4181