Individual
DR. FERNANDO VERDUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., PHD
Contact information
Practice address
2028 LAKE AVE, ALTADENA, CA 91001-2450
(626) 797-7551
(626) 797-0523
Mailing address
6344 PRIMROSE AVE, LOS ANGELES, CA 90068-2886
(310) 709-0193
(626) 797-7551
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53370
CA
Other
Enumeration date
05/15/2007
Last updated
12/14/2015
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