| L J Vigliarolo Dds Corp | |
|
310 N Citrus Ave Ste A Azusa CA 91702-3957 | |
| (626) 814-7715 | |
| (626) 507-6315 |
| Full Name | L J Vigliarolo Dds Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 310 N Citrus Ave Ste A, Azusa, California |
| Authorized Official Name and Position | Alenor Canlas (MANAGER) |
| Authorized Official Contact | 6268047715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L J Vigliarolo Dds Corp 310 N Citrus Ave Ste A Azusa CA 91702-3957 Ph: (626) 814-7715 | L J Vigliarolo Dds Corp 310 N Citrus Ave Ste A Azusa CA 91702-3957 Ph: (626) 814-7715 |
| NPI Number | 1942835350 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942835350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
James D. Ahn, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Gladstone St, Azusa, CA 91702 Phone: 626-969-6728 | |
Vigliarolo Chen Canlas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Citrus Ave Ste A, Azusa, CA 91702 Phone: 626-804-7715 Fax: 626-507-6315 | |