institution
Dr. Susan S. Gomez-baba
Dental Clinic/Center in Los Angeles, California
NPI 1235463688

Dr. Susan S. Gomez-baba is a Dental Clinic/Center based in Los Angeles, CA and is specialized in Dental. Dr. Susan S. Gomez-baba practices in Los Angeles, CA. The NPI Number for Dr. Susan S. Gomez-baba is 1235463688 and holds a License No. 36545 (California).

The current practice location address for Dr. Susan S. Gomez-baba is 330 N Vermont Ave, Los Angeles, CA and can be reached out via phone at 323-660-8778 and via fax at 323-660-8779.

Location: 330 N Vermont Ave, Los Angeles, CA, 90004-3511
institution
Provider Profile Details
NPI Number
1235463688
Provider Name
Dr. Susan S. Gomez-baba
Credential
Provider Entity Type
Organization
Address
330 N Vermont Ave, Los Angeles, CA, 90004-3511
Phone Number
323-660-8778
Fax Number
323-660-8779
Provider Enumeration Date
10/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B36545-02 01 CA DENTI-CAL
institution
Provider Business Practice Location Address Details
Address
330 N Vermont Ave
City
State
Zip
90004-3511
Phone Number
323-660-8778
Fax Number
323-660-8779
person
Provider Business Mailing Address Details
Address
330 N Vermont Ave
City
State
Zip
90004-3511
Phone Number
323-660-8778
Fax Number
323-660-8779
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
36545 (California)
Definition
Definition to come...
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