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Dr. Porfirio S Maravilla JR., DENTIST
General Practice Dentistry in Los Angeles, California
NPI 1053492272

Porfirio S Maravilla JR. is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Porfirio S Maravilla JR. practices in Los Angeles, CA and has the professional credentials of DENTIST. The NPI Number for Porfirio S Maravilla JR. is 1053492272 and holds a License No. 32356 (California).

The current practice location address for Porfirio S Maravilla JR. is 3540 Wilshire Blvd Ste 208, Los Angeles, CA and can be reached out via phone at 213-388-2466 and via fax at 213-388-9775.

Location: 3540 Wilshire Blvd Ste 208, Los Angeles, CA, 90010-2346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053492272
Provider Name
Porfirio S Maravilla JR.
Credential
DENTIST
Provider Entity Type
Individual
Gender
Male
Address
3540 Wilshire Blvd Ste 208, Los Angeles, CA, 90010-2346
Phone Number
213-388-2466
Fax Number
213-388-9775
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3540 Wilshire Blvd Ste 208
City
Los Angeles
State
California
Zip
90010-2346
Phone Number
213-388-2466
Fax Number
213-388-9775
person
Provider Business Mailing Address Details
Address
3540 Wilshire Blvd Ste 208
City
Los Angeles
State
California
Zip
90010-2346
Phone Number
213-388-2466
Fax Number
213-388-9775
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
32356 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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