Provider Demographics
NPI:1235301730
Name:BERNADETTE L. GUARING-BAGAY DDS, INC.
Entity Type:Organization
Organization Name:BERNADETTE L. GUARING-BAGAY DDS, INC.
Other - Org Name:COVINA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:LUYUN
Authorized Official - Last Name:GUARING-BAGAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-859-5715
Mailing Address - Street 1:984 E BADILLO ST
Mailing Address - Street 2:E
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-2900
Mailing Address - Country:US
Mailing Address - Phone:626-859-5715
Mailing Address - Fax:626-859-5717
Practice Address - Street 1:984 E BADILLO ST
Practice Address - Street 2:E
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2900
Practice Address - Country:US
Practice Address - Phone:626-859-5715
Practice Address - Fax:626-859-5717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44482305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization