Individual provider · NPI-1

Geremias Aguilar Jr.

Dental Assistant · Los Angeles, CA

NPI number1326528563
StatusActive
Last updated in NPPESAug 16, 2018

Details

NPI
1326528563
Entity type
Individual (NPI-1)
Name
Geremias Aguilar Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 16, 2018
Last updated
Aug 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant88938CAYes

Practice location

481 E Avenue 28 Apt 4
Los Angeles, CA 90031-2076

Phone 562-246-2347

Mailing address

481 E Avenue 28 Apt 4
Los Angeles, CA 90031-2076

Phone 562-246-2347

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