Organization
FERNANDO VERDUGO, DDS, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO VERDUGO DDS (PRESIDENT)
(310) 709-0193
Entity
Organization
Contact information
Practice address
2028 LAKE AVE, ALTADENA, CA 91001-2450
(626) 797-7551
Mailing address
6344 PRIMROSE AVE, LOS ANGELES, CA 90068-2886
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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