Mgr Dental Group

LBN: M.G. Professional Dental Corporation
Mgr Dental Group is an health care organization with primary practice located at 525 S. Azusa Way , La Puente CA 91744. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. M.G. Professional Dental Corporation can be contacted via phone (626) 810-0045, or through Sanchez, Mayra via phone (626) 274-0732.

Contact Information

Primary practice address
525 S. Azusa Way La Puente CA 91744
Phone: (626) 810-0045
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sanchez, Mayra
Phone: (626) 274-0732

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 46945 California

Profile Details

NPI number 1659563120
LBN Legal business name M.G. Professional Dental Corporation
DBA Doing business as Mgr Dental Group
Authorized official Sanchez, Mayra
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Aug 17th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659563120 NPPES
California Other G92678-01 DENTICAL PROVIDER

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