| Flores, Augusto, Dmd , Inc | |
|
4708 N Grand Ave Covina CA 91724-2005 | |
| (626) 332-8608 | |
| (626) 332-8216 |
| Full Name | Flores, Augusto, Dmd , Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4708 N Grand Ave, Covina, California |
| Authorized Official Name and Position | Augusto Sevilla Flores (DENTIST) |
| Authorized Official Contact | 6263328608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flores, Augusto, Dmd , Inc 4708 N Grand Ave Covina CA 91724-2005 Ph: (626) 332-8608 | Flores, Augusto, Dmd , Inc 4708 N Grand Ave Covina CA 91724-2005 Ph: (626) 332-8608 |
| NPI Number | 1104010024 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104010024 | NPI | - | NPPES |
| B37822-02 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37822 (California) | Primary |
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