Individual
MR. XAVER BONDOC PANGILINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1423 E GAGE AVE, SUITE A, LOS ANGELES, CA 90001-1771
(323) 983-4000
(323) 983-4007
Mailing address
16056 LANCET DR, WHITTIER, CA 90603-2597
(310) 951-6193
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30965
CA
126800000X
Dental Assistant
70539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30965
DHCC
CA
01
—
70539
RDA LICENSE
CA
Enumeration date
01/20/2009
Last updated
03/17/2017
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