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Organization
JESSICA ILAGAN AVERGONZADO,D.D.S., INC
Active
Organization
JESSICA ILAGAN AVERGONZADO,D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ILAGAN AVERGONZADO (PRESIDENT)
(562) 804-7580
Entity
Organization
Contact information
Practice address
13424 WOODRUFF AVE, BELLFLOWER, CA 90706-2629
(562) 804-7580
(562) 916-3397
Mailing address
13424 WOODRUFF AVE, BELLFLOWER, CA 90706-2629
(562) 804-7580
(562) 916-3397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49338
CA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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