| Madel P Lacson Dmd Inc | |
|
5211 E Washington Blvd Suite #7 Commerce CA 90040-3960 | |
| (323) 267-0000 | |
| (323) 265-4442 |
| Full Name | Madel P Lacson Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 5211 E Washington Blvd, Commerce, California |
| Authorized Official Name and Position | Madel P Lacson (PRESIDENT DENTIST) |
| Authorized Official Contact | 3232670000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madel P Lacson Dmd Inc 5211 E Washington Blvd Suite #7 Commerce CA 90040-3960 Ph: (323) 267-0000 | Madel P Lacson Dmd Inc 5211 E Washington Blvd Suite #7 Commerce CA 90040-3960 Ph: (323) 267-0000 |
| NPI Number | 1003938630 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003938630 | NPI | - | NPPES |
| G9407601 | Other | CA | MEDICAL DENTAL PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49353 (California) | Primary |
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