| Centro Medico And Dental Inc | |
|
514 E Washington Blvd Los Angeles CA 90015-3723 | |
| (213) 749-3934 | |
| (213) 749-0994 |
| Full Name | Centro Medico And Dental Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 514 E Washington Blvd, Los Angeles, California |
| Authorized Official Name and Position | Jacky Govea (SUPERVISOR) |
| Authorized Official Contact | 3109495002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico And Dental Inc 514 E Washington Blvd Los Angeles CA 90015-3723 Ph: (213) 749-3934 | Centro Medico And Dental Inc 514 E Washington Blvd Los Angeles CA 90015-3723 Ph: (213) 749-3934 |
| NPI Number | 1568256329 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568256329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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