| Jessica Ilagan Avergonzado,d.d.s., Inc | |
|
13424 Woodruff Ave Bellflower CA 90706-2629 | |
| (562) 804-7580 | |
| (562) 916-3397 |
| Full Name | Jessica Ilagan Avergonzado,d.d.s., Inc |
|---|---|
| Speciality | Dentist |
| Location | 13424 Woodruff Ave, Bellflower, California |
| Authorized Official Name and Position | Jessica Ilagan Avergonzado (PRESIDENT) |
| Authorized Official Contact | 5628047580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ilagan Avergonzado,d.d.s., Inc 13424 Woodruff Ave Bellflower CA 90706-2629 Ph: (562) 804-7580 | Jessica Ilagan Avergonzado,d.d.s., Inc 13424 Woodruff Ave Bellflower CA 90706-2629 Ph: (562) 804-7580 |
| NPI Number | 1700281268 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700281268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49338 (California) | Primary |
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