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Organization
GLORIANA C. VILLAGO D. D. S., INC.
Active
Organization
GLORIANA C. VILLAGO D. D. S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIANA CO TING KEH VILLAGO D. D. S. (PRESIDENT)
(323) 401-8560
Entity
Organization
Contact information
Practice address
4863 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-2631
(323) 258-3333
(323) 258-3334
Mailing address
4863 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-2631
(323) 258-3333
(323) 258-3334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48054
CA
Other
Enumeration date
03/30/2007
Last updated
10/21/2016
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