Organization
AGAPE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAISY F DEBORA DDS (DENTIST)
(626) 757-0490
Entity
Organization
Contact information
Practice address
330 N GARFIELD AVE STE 2, ALHAMBRA, CA 91801-2400
(626) 282-2452
Mailing address
330 N GARFIELD AVE STE 2, ALHAMBRA, CA 91801-2400
(626) 282-2452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
48688
CA
1223G0001X
General Practice Dentistry
Primary
48595
CA
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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