Organization
EMMANUEL ANGELES DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL DE GUZMAN ANGELES DDS (DENTIST)
(562) 925-4466
Entity
Organization
Contact information
Practice address
9824 MAPLE ST, BELLFLOWER, CA 90706-5906
(562) 925-4466
(562) 925-4466
Mailing address
9824 MAPLE ST, BELLFLOWER, CA 90706-5906
(562) 925-4466
(562) 925-4466
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
55644
CA
302R00000X
Health Maintenance Organization
55644
CA
305R00000X
Preferred Provider Organization
55644
CA
305S00000X
Point of Service
Primary
55644
CA
Other
Enumeration date
01/10/2011
Last updated
01/19/2011
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