Zacoalco Dental Office | |
1420 E Florence Avenue Los Angeles CA 90001 | |
(323) 277-8110 | |
(323) 277-8114 |
Full Name | Zacoalco Dental Office |
---|---|
Speciality | Dentist |
Location | 1420 E Florence Avenue, Los Angeles, California |
Authorized Official Name and Position | Consuela Mesina Nogoy (PRESIDENT) |
Authorized Official Contact | 3232778110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Zacoalco Dental Office 1420 E Florence Avenue Los Angeles CA 90001 Ph: (323) 277-8110 | Zacoalco Dental Office 1420 E Florence Avenue Los Angeles CA 90001 Ph: (323) 277-8110 |
NPI Number | 1003029737 |
---|---|
Provider Enumeration Date | 05/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003029737 | NPI | - | NPPES |
G9336901 | Other | CA | DENTICAL |
B4594202 | Other | CA | HEALTHY FAMILIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 45942 (California) | Primary |
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