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ROSEMARIE ACEVEDO D.D.S
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1811399306
Individual Registrant: ROSEMARIE ACEVEDO D.D.S
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
11559 SHERMAN WAY UNIT 100 NORTH HOLLYWOOD, CA 91605-5883 US
Tel: 818-503-0040 Fax: 818-503-0090
Tel: 818-503-0040 Fax: 818-503-0090
Contact information for business:
6725 DE CELIS PL LAKE BALBOA, CA 91406-5713 US
Tel: 818-781-6030 Fax: --
Tel: 818-781-6030 Fax: --
Registration Information:
NPI: 1811399306
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 43507 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
