Angeles Bugayong Bajo, DDS

Individual provider Active NPI General Practice Dentistry · Carson, CA

NPI 1164696373 · NPPES record last updated Apr 17, 2008

Key facts

NPI
1164696373
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
38027 (CA)
Practice address
144 W Carson St
Carson, CA 90745-2601
Phone
(310) 835-4088
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
38027CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38027 CA Yes

Addresses

Primary practice location

144 W Carson St
Carson, CA 90745-2601

Mailing address

24114 Spicewood LN
Harbor City, CA 90710-1534
Phone (310) 539-3299

Other providers in Carson, CA

All providers in Carson, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.