Holly Katherine Aguigam | San Diego, CA • PECOS Search

Holly Katherine Aguigam

Dentist

Dental Providers

2619 Clairemont Dr, San Diego, CA 92117-6634

PECOS Enrollment

Based on the most recent information from CMS, provider Holly Katherine Aguigam does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1083023444
Provider Type
Individual
Full Name
Aguigam, Holly Katherine
Title
Dr.
Credential
DDS

Gender
Female
Sole Proprietor
No
Enumeration Date
8/10/2014
Last Updated
10/8/2023

Contact Information

Practice Location

2619 Clairemont Dr, San Diego, CA 92117-6634

Unlisted Fax

Mailing Location

12773 Cijon St, San Diego, CA 92129-3024

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 63768 California