Individual provider · NPI-1

Jeanae Arevalo

Dental Assistant · Los Angeles, CA

NPI number1669863023
StatusActive
Last updated in NPPESFeb 6, 2015

Details

NPI
1669863023
Entity type
Individual (NPI-1)
Name
Ms. Jeanae Arevalo
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 6, 2015
Last updated
Feb 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant83365CAYes

Practice location

380 S Ferris Ave
Los Angeles, CA 90022-1921

Phone 818-523-4320

Mailing address

2604 S Vermont Ave
Los Angeles, CA 90007-2298

Phone 323-731-3333 · Fax 323-731-7626

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