| Gloriana C. Villago D. D. S., Inc. | |
|
4863 Eagle Rock Blvd Los Angeles CA 90041-2631 | |
| (323) 258-3333 | |
| (323) 258-3334 |
| Full Name | Gloriana C. Villago D. D. S., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4863 Eagle Rock Blvd, Los Angeles, California |
| Authorized Official Name and Position | Gloriana Co Ting Keh Villago (PRESIDENT) |
| Authorized Official Contact | 3234018560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloriana C. Villago D. D. S., Inc. 4863 Eagle Rock Blvd Los Angeles CA 90041-2631 Ph: (323) 258-3333 | Gloriana C. Villago D. D. S., Inc. 4863 Eagle Rock Blvd Los Angeles CA 90041-2631 Ph: (323) 258-3333 |
| NPI Number | 1710007877 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710007877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48054 (California) | Primary |
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