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DR. MIA LARISSA ANCHETA DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1740407451

Individual Registrant:
DR. MIA LARISSA ANCHETA DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3560 LEXINGTON AVE  EL MONTE, CA 91731-2608 US
Tel: 626-448-9867  Fax: 626-448-2202

Contact information for business:
3560 LEXINGTON AVE  EL MONTE, CA 91731-2608 US
Tel: 626-448-9867  Fax: 626-448-2202

Registration Information:
NPI: 1740407451
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA47839

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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