DR. Carlos-Maria Vallarta Fausto

NPI #1104923887 in Torrance, California

Provider Information

NPI Number: 1104923887
Entity Type: Individual
Name: DR. Carlos-Maria Vallarta Fausto
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 21720 S VERMONT AVE
Address 2: SUITE 112
City: Torrance
State: California
ZIP Code: 90502-2127
Phone: (310) 320-0085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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