JONATHAN BASIAGO

LONG BEACH, CA
NPI1639540636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  65149)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
Dr. JONATHAN BASIAGO DDS
5373 E VILLAGE RD
LONG BEACH, CA 90808-1600
Phone number: 562-429-5965
Mailing Address
Dr. JONATHAN BASIAGO DDS
5373 E VILLAGE RD
LONG BEACH, CA 90808-1600
Phone number:
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