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1740 W Cameron Ave Ste 106 West Covina CA 91790-2719 | |
| (626) 337-8844 | |
| (626) 337-4460 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1740 W Cameron Ave Ste 106, West Covina, California |
| Authorized Official Name and Position | Allan D Nguyen (PRESIDENT) |
| Authorized Official Contact | 6263378844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1740 W Cameron Ave Ste 106 West Covina CA 91790-2719 Ph: (626) 337-8844 | 1740 W Cameron Ave Ste 106 West Covina CA 91790-2719 Ph: (626) 337-8844 |
| NPI Number | 1346312758 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346312758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 45396 (California) | Primary |
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Liu, Joseph H D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 S Glendora Ave, West Covina, CA 91790 Phone: 626-918-2886 Fax: 626-918-8807 |