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Organization
NICK A. AGPALO, D.M.D., INC.
Active
Organization
NICK A. AGPALO, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK A. AGPALO (OWNER/DENTAL)
(323) 550-8341
Entity
Organization
Contact information
Practice address
4210 EAGLE ROCK BLVD, LOS ANGELES, CA 90065-4405
(323) 550-8341
Mailing address
4210 EAGLE ROCK BLVD, LOS ANGELES, CA 90065-4405
(323) 550-8341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32257
CA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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