Provider Demographics
NPI:1902016884
Name:RB WESTWOOD DENTAL CARE
Entity Type:Organization
Organization Name:RB WESTWOOD DENTAL CARE
Other - Org Name:EVELYN G LAGDA DMD, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:G
Authorized Official - Last Name:LAGDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-487-8177
Mailing Address - Street 1:11645 DUENDA RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-1110
Mailing Address - Country:US
Mailing Address - Phone:858-487-8177
Mailing Address - Fax:858-487-8183
Practice Address - Street 1:11645 DUENDA RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1110
Practice Address - Country:US
Practice Address - Phone:858-487-8177
Practice Address - Fax:858-487-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty