Miriam Bautista Buenaventura D.D.S.

NPI 1003958745 - Dentist - 1223G0001X

NPI Details
NPI 1003958745
Gender Female
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
18251 ROSCOE BLVD.
SUITE 201-A
NORTHRIDGE CA, 91325-4254, US
Phone (818) 700-1247
Fax (818) 885-0762
Business Location
18251 ROSCOE BLVD.
SUITE 201-A
NORTHRIDGE CA, 91325-4254, US
Phone (818) 700-1247
Fax (818) 885-0762
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 46030
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According to our database, Dr. Miriam Bautista Buenaventura D.D.S. NPI is 1003958745, taxonomy code is 1223G0001X and license number is 46030, license state is located at California. Miriam Bautista Buenaventura D.D.S. physically located at 18251 Roscoe Blvd., Northridge CA, 91325-4254. NPI Number Miriam Bautista Buenaventura D.D.S. has the Individual type.

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1003958745 NPI number is provided on an as is basis without warranty of any kind. 1003958745 is maintained by the National Plan & Provider Enumeration System. The contents of Miriam Bautista Buenaventura D.D.S. are for informational purposes only.