Narissa Ambata DDS INC

NPI #1467863647 in Maywood, California

Provider Information

NPI Number: 1467863647
Entity Type: Organization
Organization Name: Narissa Ambata DDS INC
Primary Specialty: Dentist
Enumeration Date: May 9, 2014
Last Updated: Apr 15, 2019

Practice Location

Address: 4509 SLAUSON AVE
Address 2: SUITE B
City: Maywood
State: California
ZIP Code: 90270-2954
Phone: (323) 560-8999

Authorized Official

Name: DR. NARISSA BAWALAN AMBATA, DDS
Title: OWNER
Phone: (323) 560-8999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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