| Maria Regalado, D.d.s., A Professional Corporation | |
|
21010 Pioneer Blvd Lakewood CA 90715-2126 | |
| (562) 402-9196 | |
| (562) 402-9186 |
| Full Name | Maria Regalado, D.d.s., A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 21010 Pioneer Blvd, Lakewood, California |
| Authorized Official Name and Position | Maria Carolina De Leon Regalado (PRESIDENT/ SECRETARY) |
| Authorized Official Contact | 5624029196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Regalado, D.d.s., A Professional Corporation 21010 Pioneer Blvd Lakewood CA 90715-2126 Ph: (562) 402-9196 | Maria Regalado, D.d.s., A Professional Corporation 21010 Pioneer Blvd Lakewood CA 90715-2126 Ph: (562) 402-9196 |
| NPI Number | 1396922472 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396922472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50816 (California) | Primary |
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