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Organization
JOSH LAGATTA DDS INC
Active
Organization
JOSH LAGATTA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSH JAMES LA GATTA DDS (PRESIDENT)
(562) 773-6057
Entity
Organization
Contact information
Practice address
1201 E FLORENCE AVE # B, LOS ANGELES, CA 90001-2432
(562) 773-6057
Mailing address
1201 E FLORENCE AVE # B, LOS ANGELES, CA 90001-2432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D49919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9317601
MEDICAL
CA
01
—
G9317602
MEDICAL
CA
Enumeration date
08/29/2007
Last updated
08/29/2007
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