Individual provider · Type 1 NPI

Carlos-Maria Vallarta Fausto

General Practice Dentistry · Torrance, CA

NPI number 1104923887 Active

About NPI 1104923887

Carlos-Maria Vallarta Fausto's National Provider Identifier is 1104923887, issued on Sep 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Torrance, CA. The record was last updated on Jul 8, 2007.