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Organization
LUDIVINA L PAGATPATAN,D.D.S.,INC.
Active
Organization
LUDIVINA L PAGATPATAN,D.D.S.,INC.
Active
Other names
Prairie family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUDIVINA LUIS PAGATPATAN DDS (PRESIDENT)
(310) 303-3988
Entity
Organization
Contact information
Practice address
3949 ARTESIA BLVD, TORRANCE, CA 90504-3210
(310) 303-3988
(310) 303-3919
Mailing address
211 PISMO DR, CARSON, CA 90745-4740
(310) 952-0895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48162
CA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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