Dr. Porfirio S. Maravilla Jr. Dmd Inc in Los Angeles - General Practice
Dr. Porfirio S. Maravilla Jr. Dmd Inc - NPI 1760535322
Dr. Porfirio S. Maravilla Jr. Dmd Inc is a General Practice in Los Angeles, California. Dr. Porfirio S. Maravilla Jr. Dmd Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dr. Porfirio S. Maravilla Jr. Dmd Inc is 1760535322. The last update date is 2020-08-22.
Dr. Porfirio S. Maravilla Jr. Dmd Inc's current location address is 3540 Wilshire Blvd Ste 208, Los Angeles, California. You can contact this provider via phone number 2133882466 and fax number 2133889775. The mailing address for Dr. Porfirio S. Maravilla Jr. Dmd Inc is 3540 Wilshire Blvd Ste 208, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dr. Porfirio S. Maravilla Jr. Dmd Inc |
---|---|
Address | 3540 Wilshire Blvd Ste 208, Los Angeles, California |
Phone Number | 2133882466 |
Fax Number | 2133889775 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRES. |
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Authorized Official Name | Maravilla Santos Porfirio |
Credentials | DMD |
Telephone Number | 2133882466 |
NPI Number Detail
NPI Number | 1760535322 |
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Provider Enumeration Date | 2007-01-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3540 Wilshire Blvd Ste 208 |
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City | Los Angeles |
State | California (CA) |
Post Code | 900102346 |
Phone Number | 2133882466 |
Fax Number | 2133889775 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 32356 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Dr. Porfirio S. Maravilla Jr. Dmd Inc by the Centers for Medicare & Medicaid Services?
The Dr. Porfirio S. Maravilla Jr. Dmd Inc has been assigned the NPI (National Provider Identifier) 1760535322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Dr. Porfirio S. Maravilla Jr. Dmd Inc's facilities are situated?
The facilities of Dr. Porfirio S. Maravilla Jr. Dmd Inc are physically located at the following address: 3540 Wilshire Blvd Ste 208, Los Angeles, CA, 900102346.
What is Dr. Porfirio S. Maravilla Jr. Dmd Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dr. Porfirio S. Maravilla Jr. Dmd Inc is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760535322 to Dr. Porfirio S. Maravilla Jr. Dmd Inc?
The Centers for Medicare & Medicaid Services originally issued the 1760535322 to Dr. Porfirio S. Maravilla Jr. Dmd Inc on 2007-01-18.
When was the information pertaining to Dr. Porfirio S. Maravilla Jr. Dmd Inc most recently updated or revised?
The details related to Dr. Porfirio S. Maravilla Jr. Dmd Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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