Elgendi Dental Corporation
NPI #1326612607 in La Puente, California
Provider Information
- NPI Number
- 1326612607
- Entity Type
- Organization
- Organization Name
- Elgendi Dental Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 19, 2021
- Last Updated
- Feb 1, 2022
Practice Location
- Address
- 818 N HACIENDA BLVD STE J
- City
- La Puente
- State
- California
- ZIP Code
- 91744-2806
- Phone
- (626) 336-2878
Authorized Official
- Name
- MRS. LUPE GOMEZ
- Title
- OFFICE MANAGER
- Phone
- (626) 336-2878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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