| Angeles Crest Dentistry | |
|
3200 La Crescenta Ave Suite 201 Glendale CA 91208-1600 | |
| (818) 541-0876 | |
| (818) 541-0148 |
| Full Name | Angeles Crest Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3200 La Crescenta Ave, Glendale, California |
| Authorized Official Name and Position | Delfin Tio (OWNER) |
| Authorized Official Contact | 8185410876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angeles Crest Dentistry 3200 La Crescenta Ave Suite 201 Glendale CA 91208-1600 Ph: (818) 541-0876 | Angeles Crest Dentistry 3200 La Crescenta Ave Suite 201 Glendale CA 91208-1600 Ph: (818) 541-0876 |
| NPI Number | 1881744902 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881744902 | NPI | - | NPPES |
| B39899 | Other | CA | HEALTHY FAMILIES |
| B3989901 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39899 (California) | Primary |
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