| Milagros a Loo DDS Inc | |
|
14314 Ramona Blvd Baldwin Park CA 91706-3241 | |
| (626) 960-9440 | |
| (626) 960-5772 |
| Full Name | Milagros a Loo DDS Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14314 Ramona Blvd, Baldwin Park, California |
| Authorized Official Name and Position | Milagros a Loo (PRESIDENT) |
| Authorized Official Contact | 6269609440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milagros a Loo DDS Inc 14314 Ramona Blvd Baldwin Park CA 91706-3241 Ph: (626) 960-9440 | Milagros a Loo DDS Inc 14314 Ramona Blvd Baldwin Park CA 91706-3241 Ph: (626) 960-9440 |
| NPI Number | 1003126590 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003126590 | NPI | - | NPPES |
| N0680473 | Other | CA | CDL |
| 26167 | Other | CA | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26167 (California) | Primary |
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