G B Aquino a Dental Corp

Organization Active NPI General Practice Dentistry · Baldwin, CA

NPI 1043471204 · NPPES record last updated Jun 27, 2008

Key facts

NPI
1043471204
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
47225 (CA)
Legal business name
G B AQUINO A DENTAL CORP
Practice address
14531 Pacific Ave
Baldwin, CA 91706
Phone
(626) 480-8540
Fax
(626) 480-8576
NPI assigned
Jun 20, 2008
Organization subpart
No

Authorized official

Name
Gina Buenaventura Aquino, DMD
Title
Dentist
Phone
(626) 480-8540

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

14531 Pacific Ave
Baldwin Park, CA 91706
Phone (626) 480-8540

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 47225 CA Yes

Addresses

Primary practice location

14531 Pacific Ave
Baldwin, CA 91706

Mailing address

14531 Pacific Ave
Baldwin, CA 91706
Phone (626) 480-8540

Sources for this page

Verify at the official NPI Registry.