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Organization
FLORES, AUGUSTO, DMD , INC
Active
Organization
FLORES, AUGUSTO, DMD , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTO SEVILLA FLORES DMD (DENTIST)
(626) 332-8608
Entity
Organization
Contact information
Practice address
4708 N GRAND AVE, COVINA, CA 91724-2005
(626) 332-8608
(626) 332-8216
Mailing address
4708 N GRAND AVE, COVINA, CA 91724-2005
(626) 332-8608
(626) 332-8216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B37822-02
MEDI-CAL
CA
Enumeration date
09/04/2007
Last updated
09/04/2007
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