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531 W Las Tunas Dr Ste A San Gabriel CA 91776-1166 | |
| (626) 282-0884 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 531 W Las Tunas Dr Ste A, San Gabriel, California |
| Authorized Official Name and Position | Albert Oh (CEO PRESIDENT SECRETARY) |
| Authorized Official Contact | 7143238007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
531 W Las Tunas Dr Ste A San Gabriel CA 91776-1166 Ph: () - | 531 W Las Tunas Dr Ste A San Gabriel CA 91776-1166 Ph: (626) 282-0884 |
| NPI Number | 1184133076 |
|---|---|
| Provider Enumeration Date | 09/24/2017 |
| Last Update Date | 09/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184133076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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