Greenvalley Oral Care

NPI #1831458637 in Lynwood, California

Provider Information

NPI Number: 1831458637
Entity Type: Organization
Organization Name: Greenvalley Oral Care
Primary Specialty: Dentist
Enumeration Date: May 14, 2012
Last Updated: May 14, 2012

Practice Location

Address: 3516 MARTIN LUTHER KING BLVD. SUITE 7
City: Lynwood
State: California
ZIP Code: 90262
Phone: (310) 639-7224

Authorized Official

Name: RAFAEL A ANTILLON
Title: DENTIST
Phone: (310) 639-7224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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