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DR. HOLLY KATHERINE AGUIGAM DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1083023444
Individual Registrant:DR. HOLLY KATHERINE AGUIGAM DDS
Gender: F
Not Sole Proprietor
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: --
Tel: 424-256-5192 Fax: --
Contact information for business:
12773 CIJON ST SAN DIEGO, CA 92129-3024 US
Tel: 424-256-5192 Fax: --
Tel: 424-256-5192 Fax: --
Registration Information:
NPI: 1083023444
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 63768 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
