Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia Larissa Ancheta, DDS, a Dental Corporation

Organization Dental Clinic/Center · NPI 1306398680

Mia Larissa Ancheta, DDS, a Dental Corporation is a Dental Clinic/Center in South Gate, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

8720 Garfield Ave Ste 104
South Gate, CA 90280-3720
Phone: (562) 927-9050
Fax: (562) 927-9060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8720 Garfield Ave Ste 104, South Gate, CA 90280-3720 — (562) 927-9050

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 47839 (CA)

Record details

NPI number1306398680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mia Ancheta — Ceo · (562) 927-9050
Other names Mars Dental Group; San Angel Dental, Office Of Mia Ancheta; San Angel Dental Management Company
NPI enumeratedNovember 2, 2016
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022
Mailing address8720 Garfield Ave Ste 104, South Gate, CA 90280-3720

Other providers in South Gate