Provider Demographics
NPI:1669637203
Name:DR.PEDRO E. BELLO, D.D.S; INC
Entity Type:Organization
Organization Name:DR.PEDRO E. BELLO, D.D.S; INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-264-4466
Mailing Address - Street 1:2217 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-3966
Mailing Address - Country:US
Mailing Address - Phone:323-264-4466
Mailing Address - Fax:323-264-4383
Practice Address - Street 1:2217 E 1ST ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-3966
Practice Address - Country:US
Practice Address - Phone:323-264-4466
Practice Address - Fax:323-264-4383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty