Organization
JO-ANN E. DE JESUS AFRICA,DDS,INC
Active
Other names
LOVELY DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD SALONGA AFRICA (OFFICE MANAGER)
(626) 330-8818
Entity
Organization
Contact information
Practice address
15618 GALE AVE, SUITE B, HACIENDA HEIGHTS, CA 91745-1514
(626) 330-8818
(626) 330-8841
Mailing address
15618 GALE AVE, SUITE B, HACIENDA HEIGHTS, CA 91745-1514
(626) 330-8818
(626) 330-8841
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8991001
DENTI-CAL
CA
Enumeration date
08/16/2007
Last updated
08/16/2007
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