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232 N Azusa Ave Azusa CA 91702-3524 | |
(626) 812-9654 | |
(626) 812-9473 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 232 N Azusa Ave, Azusa, California |
Authorized Official Name and Position | Brianne Luu (PRESIDENT) |
Authorized Official Contact | 6268129654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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232 N Azusa Ave Azusa CA 91702-3524 Ph: (626) 812-9654 | 232 N Azusa Ave Azusa CA 91702-3524 Ph: (626) 812-9654 |
NPI Number | 1467776294 |
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Provider Enumeration Date | 03/23/2010 |
Last Update Date | 09/17/2020 |
Identifier | Type | State | Issuer |
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1467776294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 48503 (California) | Primary |
James D. Ahn, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E Gladstone St, Azusa, CA 91702 Phone: 626-969-6728 | |
Vigliarolo Chen Canlas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 N Citrus Ave Ste A, Azusa, CA 91702 Phone: 626-804-7715 Fax: 626-507-6315 | |