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DR. TIM DIATO ENCARNACION DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1891848248

Individual Registrant:
DR. TIM DIATO ENCARNACION DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
9251 GARVEY AVE SUITE D SOUTH EL MONTE, CA 91733-4609 US
Tel: 626-279-7717  Fax: --

Contact information for business:
12828 RAMONA BLVD UNIT 123 BALDWIN PARK, CA 91706-3663 US
Tel: --  Fax: --

Registration Information:
NPI: 1891848248
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA53594

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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