| Reyes And Lago Professional Dental Corporation | |
|
25846 Mcbean Pkwy Valencia CA 91355-2004 | |
| (661) 259-0600 | |
| (661) 259-0633 |
| Full Name | Reyes And Lago Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 25846 Mcbean Pkwy, Valencia, California |
| Authorized Official Name and Position | Vivienne Cruz Lago (SECRETARY) |
| Authorized Official Contact | 6612590600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reyes And Lago Professional Dental Corporation 25846 Mcbean Pkwy Valencia CA 91355-2004 Ph: (661) 259-0600 | Reyes And Lago Professional Dental Corporation 25846 Mcbean Pkwy Valencia CA 91355-2004 Ph: (661) 259-0600 |
| NPI Number | 1396917498 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396917498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53268 (California) | Primary |
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