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Organization
MADEL P LACSON DMD INC
Active
Organization
MADEL P LACSON DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADEL P LACSON DMD (PRESIDENT DENTIST)
(323) 267-0000
Entity
Organization
Contact information
Practice address
5211 E WASHINGTON BLVD, SUITE #7, COMMERCE, CA 90040-3960
(323) 267-0000
(323) 265-4442
Mailing address
5211 E WASHINGTON BLVD, SUITE #7, COMMERCE, CA 90040-3960
(323) 267-0000
(323) 265-4442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9407601
MEDICAL DENTAL PROGRAM
CA
Enumeration date
04/04/2007
Last updated
08/22/2020
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