| San Angel Dental Group | |
|
7218 Pacific Blvd Huntington Park CA 90255-5735 | |
| (323) 582-2888 | |
| (323) 582-6694 |
| Full Name | San Angel Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7218 Pacific Blvd, Huntington Park, California |
| Authorized Official Name and Position | Luis E Moran (PRESIDENT) |
| Authorized Official Contact | 3235822888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Angel Dental Group 7218 Pacific Blvd Huntington Park CA 90255-5735 Ph: (323) 582-2888 | San Angel Dental Group 7218 Pacific Blvd Huntington Park CA 90255-5735 Ph: (323) 582-2888 |
| NPI Number | 1881737419 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881737419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45150 (California) | Primary |
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