ILAGAN DENTAL CORP.
Managed Care Organizations at Brand Blvd, San Fernando, CA

License number
California 46831
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: DR. MARIA ELOISA ILAGAN D.D.S
Title: OWNER/DENTIST
Phone: (818) 365-3004
Address
Address
556 S Brand Blvd, San Fernando, CA 91340
National Provider ID: 1588981229
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ILAGAN DENTAL CORP

556 S Brand Blvd, San Fernando, CA 91340

Registration:
Feb 16, 2001
State ID:
C2305780
Agent:
Maria Eloisa Ilagan,San Fernando, CA 91340 (Physical)

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