Adonis Regala Dds Inc | |
1269 S Union Ave Los Angeles CA 90015-2043 | |
(213) 251-1400 | |
(213) 251-2800 |
Full Name | Adonis Regala Dds Inc |
---|---|
Speciality | Dentist |
Location | 1269 S Union Ave, Los Angeles, California |
Authorized Official Name and Position | Adonis Manalo Regala (DENTIST/OWNER) |
Authorized Official Contact | 2132511400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adonis Regala Dds Inc 1269 S Union Ave Los Angeles CA 90015-2043 Ph: (213) 251-1400 | Adonis Regala Dds Inc 1269 S Union Ave Los Angeles CA 90015-2043 Ph: (213) 251-1400 |
NPI Number | 1477798247 |
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Provider Enumeration Date | 12/09/2008 |
Last Update Date | 02/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477798247 | NPI | - | NPPES |
G93523-01 | Other | CA | DENTI-CAL |
D43555 | Other | CA | DENTI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 43555 (California) | Primary |
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