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Organization
PLB CALUGCUGAN/LEGASPI DENTAL CENTER
Active
Organization
PLB CALUGCUGAN/LEGASPI DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO LIMEN CALUGCUGAN D.M.D. (CEO)
(818) 786-7986
Entity
Organization
Contact information
Practice address
8215 VAN NUYS BLVD STE 302, PANORAMA CITY, CA 91402-4838
(818) 786-7986
Mailing address
8215 VAN NUYS BLVD STE 302, PANORAMA CITY, CA 91402-4838
(818) 786-7986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40654
CA
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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