Dr. Elleen Myre Zoleta Agustin, DDS
Dentist, General Practice in Arcadia, CA. Individual provider (NPI-1).
NPI number1104423698
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1104423698
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elleen Myre Zoleta Agustin
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2020
- Certification date
- Oct 7, 2020
- Last updated
- Oct 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 105628 | CA | Yes |
Practice location
103 Las Tunas DrArcadia, CA 91007-8550
Phone 626-445-2903
Mailing address
7170 N Muscatel AveSan Gabriel, CA 91775-1232
Phone 808-321-5768
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All 111 General Practice Dentistry providers in Arcadia · All 2,827 providers in Arcadia
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