Provider Demographics
NPI:1023288461
Name:BUENDIA, MARCELA GIRALDO (DDS)
Entity type:Individual
Prefix:DR
First Name:MARCELA
Middle Name:GIRALDO
Last Name:BUENDIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 E FLORENCE AVE
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-4755
Mailing Address - Country:US
Mailing Address - Phone:323-582-4600
Mailing Address - Fax:323-582-4611
Practice Address - Street 1:2521 E FLORENCE AVE
Practice Address - Street 2:SUITE B-2
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4755
Practice Address - Country:US
Practice Address - Phone:323-582-4600
Practice Address - Fax:323-582-4611
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56579122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist