| NPI | 1972564672 |
|---|---|
| Other Name | JUAN D. ANGULO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 44453) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 44453) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2013-11-20 |