San Angel Dental, Office Of Mia Ancheta | |
8720 Garfield Ave Ste 104 South Gate CA 90280-3720 | |
(562) 927-9050 | |
(562) 927-9060 |
Full Name | San Angel Dental, Office Of Mia Ancheta |
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Speciality | Clinic/center - Dental |
Location | 8720 Garfield Ave Ste 104, South Gate, California |
Authorized Official Name and Position | Mia Larissa Ancheta (CEO) |
Authorized Official Contact | 5629279050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Angel Dental, Office Of Mia Ancheta 8720 Garfield Ave Ste 104 South Gate CA 90280-3720 Ph: (562) 927-9050 | San Angel Dental, Office Of Mia Ancheta 8720 Garfield Ave Ste 104 South Gate CA 90280-3720 Ph: (562) 927-9050 |
NPI Number | 1306398680 |
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Provider Enumeration Date | 11/02/2016 |
Last Update Date | 10/25/2022 |
Identifier | Type | State | Issuer |
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1306398680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 47839 (California) | Primary |
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