Jessica Ilagan Avergonzado,d.d.s., INC

NPI #1700281268 in Bellflower, California

Provider Information

NPI Number: 1700281268
Entity Type: Organization
Organization Name: Jessica Ilagan Avergonzado,d.d.s., INC
Primary Specialty: Dentist
Enumeration Date: Oct 27, 2014
Last Updated: Oct 27, 2014

Practice Location

Address: 13424 WOODRUFF AVE
City: Bellflower
State: California
ZIP Code: 90706-2629
Phone: (562) 804-7580

Authorized Official

Name: DR. JESSICA ILAGAN AVERGONZADO
Title: PRESIDENT
Phone: (562) 804-7580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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