Organization
ADONIS REGALA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADONIS MANALO REGALA D.D.S. (DENTIST/OWNER)
(213) 251-1400
Entity
Organization
Contact information
Practice address
1269 S UNION AVE, LOS ANGELES, CA 90015-2043
(213) 251-1400
(213) 251-2800
Mailing address
1269 S UNION AVE, LOS ANGELES, CA 90015-2043
(213) 251-1400
(213) 251-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D43555
DENTI-CAL
CA
01
—
G93523-01
DENTI-CAL
CA
Enumeration date
12/09/2008
Last updated
02/19/2016
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