Organization
LOURDES B. CAPULONG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOURDES BUENO CAPULONG DDS (DENTIST)
(323) 257-7582
Entity
Organization
Contact information
Practice address
4409 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-3212
(323) 257-7582
(323) 257-2612
Mailing address
4409 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-3212
(323) 257-7582
(323) 257-2612
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
40551
CA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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