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1760510010
LOURDES MANGOHIG VILLANUEVA
HAWTHORNE, CA
NPI
1760510010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 44553)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Dr. LOURDES MANGOHIG VILLANUEVA DDS
4559 W ROSECRANS AVE
HAWTHORNE, CA 90250-6935
Phone number: 310-676-0136
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Mailing Address
Dr. LOURDES MANGOHIG VILLANUEVA DDS
4559 W ROSECRANS AVE
HAWTHORNE, CA 90250-6935
Phone number: 310-676-0136
Copy
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