| Fernando Verdugo, Dds, Corp. | |
|
2028 Lake Ave Altadena CA 91001-2450 | |
| (626) 797-7551 | |
| Not Available |
| Full Name | Fernando Verdugo, Dds, Corp. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2028 Lake Ave, Altadena, California |
| Authorized Official Name and Position | Fernando Verdugo (PRESIDENT) |
| Authorized Official Contact | 3107090193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Verdugo, Dds, Corp. 6344 Primrose Ave Los Angeles CA 90068-2886 Ph: () - | Fernando Verdugo, Dds, Corp. 2028 Lake Ave Altadena CA 91001-2450 Ph: (626) 797-7551 |
| NPI Number | 1841780012 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 05/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841780012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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