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Individual

DR. IMELDA PINTADO NAGTALON

Active
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Individual

DR. IMELDA PINTADO NAGTALON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49154
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1402304
UNITED CONCORDIA
CA
01
7401609
DELTA DENTAL
CA
01
G92150-14
STATE GOV. PROGRAM
CA
01
G921514
DENTICAL
CA
Enumeration date
01/10/2007
Last updated
07/21/2022
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