Dr. Mia Larissa Ancheta, DDS
Dentist, General Practice in El Monte, CA. Individual provider (NPI-1).
NPI number1740407451
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1740407451
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mia Larissa Ancheta
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 47839 | CA | Yes |
Practice location
3560 Lexington AveEl Monte, CA 91731-2608
Phone 626-448-9867 · Fax 626-448-2202
Mailing address
3560 Lexington AveEl Monte, CA 91731-2608
Phone 626-448-9867 · Fax 626-448-2202
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