| Centro Medico And Dental Inc | |
|
2417 S. San Pedro St. Los Angeles CA 90011-1518 | |
| (213) 749-3934 | |
| (213) 749-0994 |
| Full Name | Centro Medico And Dental Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2417 S. San Pedro St., Los Angeles, California |
| Authorized Official Name and Position | Valeria Souchutski (ADMINISTRATION) |
| Authorized Official Contact | 3103839295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico And Dental Inc 417 S Wetherly Dr. Beverly Hills CA 90211-3519 Ph: (310) 383-9295 | Centro Medico And Dental Inc 2417 S. San Pedro St. Los Angeles CA 90011-1518 Ph: (213) 749-3934 |
| NPI Number | 1568256329 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 12/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568256329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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