MEDICARE: DR. IRMINO GALANG ANGELES DMD

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
1	1223G0001X	General Practice Dentistry	46735	CA

General Provider Information

NPI Number	:	1184629974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRMINO GALANG ANGELES DMD

Provider Business Mailing Address
First Line	:	39575 TRADE CENTER DR
Second Line	:	STE D
City	:	PALMDALE
State	:	CA
Zip	:	93551-3783
Country	:	US
Telephone Number	:	661-266-7778
Fax Number	:	661-266-7773

Provider Business Practice Location Address
First Line	:	39575 TRADE CENTER DR
Second Line	:	STE D
City	:	PALMDALE
State	:	CA
Zip	:	93551-3783
Country	:	US
Telephone Number	:	661-266-7778
Fax Number	:	661-266-7773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/08/2007

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