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Organization
CABUGAO DDS INC
Active
Organization
CABUGAO DDS INC
Active
Other names
Encore at 32 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES CABUGAO DDS, MBA (PRESIDENT)
(707) 562-4090
Entity
Organization
Contact information
Practice address
6040 MAIN ST, SUITE 146, AMERICAN CANYON, CA 94503-1390
(707) 562-4090
(707) 562-4099
Mailing address
6040 MAIN ST, SUITE 146, AMERICAN CANYON, CA 94503-1390
(707) 562-4090
(707) 562-4099
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58945
CA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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