Individual
ISRAEL SAMUEL AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15350 NORDHOFF ST UNIT A, NORTH HILLS, CA 91343-2234
(818) 672-8228
Mailing address
6326 KRAFT AVE, NORTH HOLLYWOOD, CA 91606-3607
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
95548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95548
—
CA
Enumeration date
03/19/2021
Last updated
03/19/2021
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