Organization
JOSEPHINE AGUDA, DDS, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPHINE AGNE AGUDA DDS (PRESIDENT)
(714) 680-4521
Entity
Organization
Contact information
Practice address
1480 S HARBOR BLVD, SUITE 7, LA HABRA, CA 90631-7534
(714) 680-4521
Mailing address
1480 S HARBOR BLVD, SUITE 7, LA HABRA, CA 90631-7534
(714) 680-4521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47222
CA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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