| Virginia Ipapo-agustin Dds Inc | |
|
525 N Azusa Ave Ste 112 La Puente CA 91744-4261 | |
| (626) 336-4453 | |
| Not Available |
| Full Name | Virginia Ipapo-agustin Dds Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 525 N Azusa Ave Ste 112, La Puente, California |
| Authorized Official Name and Position | Virginia Ipapo Agustin (PRESIDENT) |
| Authorized Official Contact | 6263364453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Ipapo-agustin Dds Inc 525 N Azusa Ave Ste 112 La Puente CA 91744-4261 Ph: (626) 336-4453 | Virginia Ipapo-agustin Dds Inc 525 N Azusa Ave Ste 112 La Puente CA 91744-4261 Ph: (626) 336-4453 |
| NPI Number | 1023571650 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023571650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Mabel B Schneider-utz D D S A Proffessional Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 864 N Hacienda Blvd, La Puente, CA 91744 Phone: 626-333-8166 Fax: 626-333-9879 | |
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