Organization
DABALUS SAULOG DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZENAIDA UY SAULOG DMD (DMD TREASURER)
(562) 989-9652
Entity
Organization
Contact information
Practice address
4102 ORANGE AVE, STE 120, LONG BEACH, CA 90807
(562) 989-9652
(562) 988-0445
Mailing address
4102 ORANGE AVE, STE 120, LONG BEACH, CA 90807
(562) 989-9652
(562) 988-0445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37093
CA
1223G0001X
General Practice Dentistry
39906
CA
Other
Enumeration date
05/07/2007
Last updated
11/09/2016
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