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1037 N Vista St #201 West Hollywood CA 90046-6642 | |
| (818) 795-1391 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1037 N Vista St, West Hollywood, California |
| Authorized Official Name and Position | Adrienne Fang-lalas (PRESIDENT) |
| Authorized Official Contact | 8187951391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1037 N Vista St #201 West Hollywood CA 90046-6642 Ph: (818) 795-1391 | 1037 N Vista St #201 West Hollywood CA 90046-6642 Ph: (818) 795-1391 |
| NPI Number | 1588930366 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588930366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52386 (California) | Primary |
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