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Ofelia K. Costales, D.d.s., Inc.
Dental Clinic/Center in Carson, California
NPI 1043575798

Ofelia K. Costales, D.d.s., Inc. is a Dental Clinic/Center based in Carson, CA and is specialized in Dental. Ofelia K. Costales, D.d.s., Inc. practices in Carson, CA. The NPI Number for Ofelia K. Costales, D.d.s., Inc. is 1043575798 and holds a License No. 48250 (California).

The current practice location address for Ofelia K. Costales, D.d.s., Inc. is 23517 South Main St Ste 102, Carson, CA and can be reached out via phone at 310-518-6802.

Location: 23517 South Main St Ste 102, Carson, CA, 90745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043575798
Provider Name
Ofelia K. Costales, D.d.s., Inc.
Credential
Provider Entity Type
Organization
Address
23517 South Main St Ste 102, Carson, CA, 90745
Phone Number
310-518-6802
Fax Number
Provider Enumeration Date
07/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
522096 01 CA DENTICAL PIN
institution
Provider Business Practice Location Address Details
Address
23517 South Main St Ste 102
City
Carson
State
California
Zip
90745
Phone Number
310-518-6802
Fax Number
person
Provider Business Mailing Address Details
Address
23517 South Main St Ste 102
City
Carson
State
California
Zip
90745
Phone Number
310-518-6802
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
48250 (California)
Definition
Definition to come...
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