Provider Demographics
NPI:1053557710
Name:AQUINO-PAGUYO, LIGAYA (DDS)
Entity type:Individual
Prefix:DR
First Name:LIGAYA
Middle Name:
Last Name:AQUINO-PAGUYO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:LIGAYA
Other - Middle Name:AQUINO
Other - Last Name:PAGUYO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:125 E GLENOAKS BLVD
Mailing Address - Street 2:STE. 107
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-2036
Mailing Address - Country:US
Mailing Address - Phone:818-484-8508
Mailing Address - Fax:818-484-8509
Practice Address - Street 1:125 E GLENOAKS BLVD
Practice Address - Street 2:STE. 107
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2036
Practice Address - Country:US
Practice Address - Phone:818-484-8508
Practice Address - Fax:818-484-8509
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA573171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice