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Organization
LAGDA PROFESSIONAL DENTAL CORPORATION
Active
Organization
LAGDA PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN G LADGA DDS (OWNER)
(760) 433-1300
Entity
Organization
Contact information
Practice address
1830 OCEANSIDE BLVD STE D, OCEANSIDE, CA 92054-3400
(760) 433-1300
(760) 433-1331
Mailing address
1830 OCEANSIDE BLVD STE D, OCEANSIDE, CA 92054-3400
(760) 433-1300
(760) 433-1331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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