| Gloria D Bengo Dds Inc. | |
|
841 S Harbor Blvd Anaheim CA 92805-5157 | |
| (714) 999-9150 | |
| (714) 999-0580 |
| Full Name | Gloria D Bengo Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 841 S Harbor Blvd, Anaheim, California |
| Authorized Official Name and Position | Gloria Dimerin Bengo (DENTIST) |
| Authorized Official Contact | 7149999150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria D Bengo Dds Inc. 841 S Harbor Blvd Anaheim CA 92805-5157 Ph: (714) 999-9150 | Gloria D Bengo Dds Inc. 841 S Harbor Blvd Anaheim CA 92805-5157 Ph: (714) 999-9150 |
| NPI Number | 1174752331 |
|---|---|
| Provider Enumeration Date | 07/09/2009 |
| Last Update Date | 07/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174752331 | NPI | - | NPPES |
| G89589-01 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52344 (California) | Primary |
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