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

Dr. Porfirio S Maravilla Jr., DENTIST

Individual provider General Practice Dentistry · NPI 1053492272

Dr. Porfirio S Maravilla Jr., DENTIST is a General Practice Dentistry in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

3540 Wilshire Blvd Ste 208
Los Angeles, CA 90010-2346
Phone: (213) 388-2466
Fax: (213) 388-9775
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 32356 (CA)

Record details

NPI number1053492272
Entity typeIndividual (Type 1)
GenderMale
Credentials DENTIST
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

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