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Organization
QUIJANO DENTAL GROUP, INC.
Active
Organization
QUIJANO DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE GRACE CATALAN QUIJANO DDS (PRESIDENT/OWNER)
(213) 270-5309
Entity
Organization
Contact information
Practice address
430 S CENTRAL AVE, GLENDALE, CA 91204-1602
(213) 270-5309
Mailing address
430 S CENTRAL AVE, GLENDALE, CA 91204-1602
(213) 270-5309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64380
CA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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