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Dr. Elleen Myre Zoleta Agustin, DDS
General Practice Dentistry in Arcadia, California
NPI 1104423698

Elleen Myre Zoleta Agustin is a General Practice Dentistry based in San Gabriel, CA and is specialized in General Practice. Elleen Myre Zoleta Agustin practices in Arcadia, CA and has the professional credentials of DDS. The NPI Number for Elleen Myre Zoleta Agustin is 1104423698 and holds a License No. 105628 (California).

The current practice location address for Elleen Myre Zoleta Agustin is 103 Las Tunas Dr, Arcadia, CA and can be reached out via phone at 626-445-2903.

Location: 103 Las Tunas Dr, Arcadia, CA, 91775-1232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104423698
Provider Name
Elleen Myre Zoleta Agustin
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
103 Las Tunas Dr, Arcadia, CA, 91775-1232
Phone Number
626-445-2903
Fax Number
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 Las Tunas Dr
City
Arcadia
State
California
Zip
91007-8550
Phone Number
626-445-2903
Fax Number
person
Provider Business Mailing Address Details
Address
103 Las Tunas Dr
City
Arcadia
State
California
Zip
91007-8550
Phone Number
626-445-2903
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
105628 (California)
Definition
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.
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