Dr. Marissa Faeldan-Suarez
Dentist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1487941340
StatusActive
Last updated in NPPESApr 19, 2013
Details
- NPI
- 1487941340
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marissa Faeldan-Suarez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2011
- Last updated
- Apr 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 58944 | CA | Yes |
Practice location
1827 Greenfield Ave Apt 105Los Angeles, CA 90025-4409
Phone 626-379-1110
Mailing address
16018 Amar RdCity Of Industry, CA 91744-2203
Phone 626-968-7525
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