Guadalupe L Pereira A Prof Corp

NPI 1437217783 - Dentist - 122300000X

NPI Details
NPI 1437217783
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GUADALUPE LUSTRE GUADALUPE
Position PRESIDENT
Phone (310) 847-7777
Fax (310) 835-0199
Practice Location
155 E LOMITA BLVD
CARSON CA, 90745, US
Phone (310) 847-7777
Fax (310) 835-0199
Business Location
155 E LOMITA BLVD
CARSON CA, 90745, US
Phone (310) 847-7777
Fax (310) 835-0199
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 41515
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According to our database, Guadalupe L Pereira A Prof Corp NPI is 1437217783, taxonomy code is 122300000X and license number is 41515, license state is located at California. Guadalupe L Pereira A Prof Corp physically located at 155 E Lomita Blvd, Carson CA, 90745. NPI Number 1033115704 has the healthcare provider type.

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1437217783 NPI number is provided on an as is basis without warranty of any kind. 1437217783 is maintained by the National Plan & Provider Enumeration System. The contents of Guadalupe L Pereira A Prof Corp are for informational purposes only.