Mia Larissa Ancheta, Dds, a Dental Corporation
NPI #1306398680 in South Gate, California
Provider Information
- NPI Number
- 1306398680
- Entity Type
- Organization
- Organization Name
- Mia Larissa Ancheta, Dds, a Dental Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 2, 2016
- Last Updated
- Oct 25, 2022
Practice Location
- Address
- 8720 GARFIELD AVE STE 104
- City
- South Gate
- State
- California
- ZIP Code
- 90280-3720
- Phone
- (562) 927-9050
Authorized Official
- Name
- MIA LARISSA ANCHETA, DDS
- Title
- CEO
- Phone
- (562) 927-9050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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