Dragana Angelova, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

58193 Issued in CA

Legal business name

DRAGANA ANGELOVA, DDS, INC

Practice address

10064 Arrow Rte
Rancho Cucamonga, CA 91730-4194

Phone

(909) 987-5522

Fax

(909) 987-5532

NPI assigned

Nov 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dragana Angelova, DDS

Title

Ceo

Phone

(909) 913-2123

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1891097671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10064 ARROW RTE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304194",
            "telephone_number": "909-987-5522",
            "fax_number": "909-987-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10064 ARROW RTE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304194",
            "telephone_number": "909-987-5522",
            "fax_number": "909-987-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGANA ANGELOVA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "ANGELOVA",
        "authorized_official_first_name": "DRAGANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-913-2123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.