Organization
L J VIGLIAROLO DDS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALENOR CANLAS (MANAGER)
(626) 804-7715
Entity
Organization
Contact information
Practice address
310 N CITRUS AVE STE A, AZUSA, CA 91702-3957
(626) 814-7715
(626) 507-6315
Mailing address
310 N CITRUS AVE STE A, AZUSA, CA 91702-3957
(626) 814-7715
(626) 507-6315
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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