institution
Mia Larissa Ancheta, Dds, A Dental Corporation
Dental Clinic/Center in South Gate, California
NPI 1306398680

Mia Larissa Ancheta, Dds, A Dental Corporation is a Dental Clinic/Center based in South Gate, CA and is specialized in Dental. Mia Larissa Ancheta, Dds, A Dental Corporation practices in South Gate, CA. The NPI Number for Mia Larissa Ancheta, Dds, A Dental Corporation is 1306398680 and holds a License No. 47839 (California).

The current practice location address for Mia Larissa Ancheta, Dds, A Dental Corporation is 8720 Garfield Ave Ste 104, South Gate, CA and can be reached out via phone at 562-927-9050 and via fax at 562-927-9060.

Location: 8720 Garfield Ave Ste 104, South Gate, CA, 90280-3720
institution
Provider Profile Details
NPI Number
1306398680
Provider Name
Mia Larissa Ancheta, Dds, A Dental Corporation
Credential
Provider Entity Type
Organization
Address
8720 Garfield Ave Ste 104, South Gate, CA, 90280-3720
Phone Number
562-927-9050
Fax Number
562-927-9060
Provider Enumeration Date
11/02/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
8720 Garfield Ave Ste 104
City
State
Zip
90280-3720
Phone Number
562-927-9050
Fax Number
562-927-9060
person
Provider Business Mailing Address Details
Address
8720 Garfield Ave Ste 104
City
State
Zip
90280-3720
Phone Number
562-927-9050
Fax Number
562-927-9060
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
47839 (California)
Definition
Definition to come...
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