Provider Demographics
NPI:1083736524
Name:BARROS, MARGARET YUVIENCO (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:YUVIENCO
Last Name:BARROS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 GLENDALE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-1762
Mailing Address - Country:US
Mailing Address - Phone:323-953-8762
Mailing Address - Fax:323-953-1874
Practice Address - Street 1:1860 GLENDALE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-1762
Practice Address - Country:US
Practice Address - Phone:323-953-8762
Practice Address - Fax:323-953-1874
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD409081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG9297601OtherDENTICAL