Organization
CONSUELO M NOGOY DDS INC
Active
Other names
Zacoalco Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
CONSUELA MESINA NOGOY DDS (PRESIDENT)
(323) 277-8110
Entity
Organization
Contact information
Practice address
1420 E FLORENCE AVENUE, LOS ANGELES, CA 90001
(323) 277-8110
(323) 277-8114
Mailing address
1420 E FLORENCE AVENUE, LOS ANGELES, CA 90001
(323) 277-8110
(323) 277-8114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4594202
HEALTHY FAMILIES
CA
01
—
G9336901
DENTICAL
CA
Enumeration date
05/08/2007
Last updated
08/22/2020
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