Provider Demographics
NPI:1700021649
Name:OSCAR R TRIGOSO DDS INC
Entity Type:Organization
Organization Name:OSCAR R TRIGOSO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIGOSO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-279-6258
Mailing Address - Street 1:9814 GARVEY AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-4704
Mailing Address - Country:US
Mailing Address - Phone:626-279-6258
Mailing Address - Fax:626-279-6302
Practice Address - Street 1:9814 GARVEY AVE STE 9
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-4704
Practice Address - Country:US
Practice Address - Phone:626-279-6258
Practice Address - Fax:626-279-6302
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSCAR R TRIGOSO DDS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-06
Last Update Date:2008-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA416861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty