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Organization
GLORIA D BENGO DDS INC.
Active
Organization
GLORIA D BENGO DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA DIMERIN BENGO (DENTIST)
(714) 999-9150
Entity
Organization
Contact information
Practice address
841 S HARBOR BLVD, ANAHEIM, CA 92805-5157
(714) 999-9150
(714) 999-0580
Mailing address
841 S HARBOR BLVD, ANAHEIM, CA 92805-5157
(714) 999-9150
(714) 999-0580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89589-01
DENTI-CAL
CA
Enumeration date
07/09/2009
Last updated
07/09/2009
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