Organization
LOTUACO DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND LOTUACO DDS (DENTIST)
(747) 232-3847
Entity
Organization
Contact information
Practice address
2217 NILES PT, BAKERSFIELD, CA 93306-4023
(661) 863-0609
Mailing address
13032 ANGELES TRAIL WAY, SYLMAR, CA 91342-3479
(747) 232-3847
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
12/02/2021
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