Organization · Type 2 NPI

Miriam Buenaventura Dental Corporation

Dental Clinic/Center · Los Angeles, CA

NPI number 1265906705 Active

Practice location

5031 Eagle Rock Blvd
Los Angeles, CA 90041-1923

Call (323) 256-6428 Map

Fax (323) 256-8439

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1265906705

Miriam Buenaventura Dental Corporation's National Provider Identifier is 1265906705, issued on Jan 17, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 17, 2019.