Individual provider · Type 1 NPI
Elleen Myre Zoleta Agustin, DDS
General Practice Dentistry · Arcadia, CA
NPI number
1104423698
Active
Practice location
103 Las Tunas Dr
Arcadia, CA 91007-8550
Mailing address
7170 N Muscatel Ave
San Gabriel, CA 91775-1232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 105628 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
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- Da Sun, DDSGeneral Practice Dentistry Arcadia, CA NPI 1093999377
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- Sookhyun Kim, DDSGeneral Practice Dentistry Arcadia, CA NPI 1134454705
About NPI 1104423698
Elleen Myre Zoleta Agustin, DDS's National Provider Identifier is 1104423698, issued on Oct 7, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Arcadia, CA. The record was last updated on Oct 7, 2020.