| Kasangra West Covina | |
|
1050 Lakes Dr Ste 140 West Covina CA 91790-2929 | |
| (626) 653-9560 | |
| (909) 313-2319 |
| Full Name | Kasangra West Covina |
|---|---|
| Speciality | Dentist |
| Location | 1050 Lakes Dr Ste 140, West Covina, California |
| Authorized Official Name and Position | Samuel Sauza (OWNER) |
| Authorized Official Contact | 6266539560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasangra West Covina 1050 Lakes Dr Ste 140 West Covina CA 91790-2929 Ph: (626) 653-9560 | Kasangra West Covina 1050 Lakes Dr Ste 140 West Covina CA 91790-2929 Ph: (626) 653-9560 |
| NPI Number | 1285591834 |
|---|---|
| Provider Enumeration Date | 01/06/2026 |
| Last Update Date | 01/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285591834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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