Provider Demographics
NPI:1003829516
Name:BILUGAN, VICTOR (DMD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:BILUGAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21757 DEVONSHIRE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2910
Mailing Address - Country:US
Mailing Address - Phone:818-882-0600
Mailing Address - Fax:818-882-0625
Practice Address - Street 1:21757 DEVONSHIRE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2910
Practice Address - Country:US
Practice Address - Phone:818-882-0600
Practice Address - Fax:818-882-0625
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice