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DR. HOLLY KATHERINE AGUIGAM DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1083023444

Individual Registrant:
DR. HOLLY KATHERINE AGUIGAM DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
C ST, AREA 21 DENTAL CLINIC BLDG 210735 CAMP PENDLETON, CA 92057 US
Tel: 424-256-5192  Fax: --

Contact information for business:
12773 CIJON ST  SAN DIEGO, CA 92129-3024 US
Tel: 424-256-5192  Fax: --

Registration Information:
NPI: 1083023444
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA63768

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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