DR. VIRGINIA IPAPO AGUSTIN NPI 1376726315

NPI Information

DR. Virginia Ipapo Agustin is an oral and maxillofacial surgery dentist in La Puente, CA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Virginia Ipapo Agustin NPI is 1376726315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 N AZUSA AVE STE 112
LA PUENTE, CA
ZIP 91744-261
Phone: (626) 336-4453

The NPI 1376726315 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/13/2007 and was last updated on 4/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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