M.g. Professional Dental Corporation
NPI #1659563120 in La Puente, California
Provider Information
- NPI Number
- 1659563120
- Entity Type
- Organization
- Organization Name
- M.g. Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 17, 2007
- Last Updated
- Aug 17, 2007
Practice Location
- Address
- 525 S. AZUSA WAY
- City
- La Puente
- State
- California
- ZIP Code
- 91744
- Phone
- (626) 810-0045
Authorized Official
- Name
- MAYRA SANCHEZ
- Title
- CEO
- Phone
- (626) 274-0732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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