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NPI Code Detail

MEDICARE: BELGICA RAQUEL JUAREZ DARDON DDS

MEDICARE:   BELGICA RAQUEL JUAREZ DARDON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist113055CA

General Provider Information

NPI Number : 1538093133
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELGICA RAQUEL JUAREZ DARDON DDS
Provider Business Mailing Address
First Line : 1655 S WESTERN AVE STE C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90006-5801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1655 S WESTERN AVE STE C
Second Line :
City : LOS ANGELES
State : CA
Zip : 90006-5801
Country : US
Telephone Number : 323-529-0002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ BELGICA RAQUEL JUAREZ DARDON DDS” Practice Location

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