| San Angel Dental Management Company | |
|
8720 Garfield Ave Suite #104 South Gate CA 90280-3720 | |
| (562) 927-9050 | |
| (562) 927-9060 |
| Full Name | San Angel Dental Management Company |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 8720 Garfield Ave, South Gate, California |
| Authorized Official Name and Position | Mia Larissa Ancheta (PARTNER) |
| Authorized Official Contact | 5629279050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Angel Dental Management Company 8720 Garfield Ave Suite #104 South Gate CA 90280-3720 Ph: (562) 927-9050 | San Angel Dental Management Company 8720 Garfield Ave Suite #104 South Gate CA 90280-3720 Ph: (562) 927-9050 |
| NPI Number | 1922303809 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 01/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922303809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 47839 (California) | Primary |
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