Organization
VILLAGO DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIANA CO TING KEH VILLAGO DDS (PRESIDENT)
(818) 988-8184
Entity
Organization
Contact information
Practice address
7133 SEPULVEDA BLVD, VAN NUYS, CA 91405-2930
(818) 988-8184
(818) 988-8727
Mailing address
7133 SEPULVEDA BLVD, VAN NUYS, CA 91405-2930
(818) 988-8184
(818) 988-8727
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48054
CA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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