Organization
CABUGAO DDS INC
Active
Other names
Encore at 32 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES CABUGAO DDS, MBA (PRESIDENT)
(707) 562-4090
Entity
Organization
Contact information
Practice address
6040 MAIN ST, SUITE 146, AMERICAN CANYON, CA 94503-1390
(707) 562-4090
(707) 562-4099
Mailing address
6040 MAIN ST, SUITE 146, AMERICAN CANYON, CA 94503-1390
(707) 562-4090
(707) 562-4099
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58945
CA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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