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Organization
MILAGROS A LOO DDS INC
Active
Organization
MILAGROS A LOO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAGROS A LOO DDS (PRESIDENT)
(626) 960-9440
Entity
Organization
Contact information
Practice address
14314 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 960-9440
(626) 960-5772
Mailing address
14314 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 960-9440
(626) 960-5772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26167
PROFESSIONAL LICENSE
CA
01
—
N0680473
CDL
CA
Enumeration date
10/18/2010
Last updated
10/18/2010
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