Individual
MR. JUAN ANGEL AGUILAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4149 TWEEDY BLVD, SUITE J, SOUTH GATE, CA 90280-6167
(323) 567-3333
(323) 567-2929
Mailing address
4149 TWEEDY BLVD, SUITE J, SOUTH GATE, CA 90280-6167
(323) 567-3333
(323) 567-2929
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
76391
CA
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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