Dr. VIRGINIA IPAPO AGUSTIN
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1376726315- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 525 N AZUSA AVE STE 112, LA PUENTE, CA, 917444261
- Phone
- (626) 336-4453
Specialties & Taxonomies
Dentist
License: CA #56593
Dentist, Oral and Maxillofacial Surgery
Primary License: CA #56593