| Byun And Patel, A Dental Corporation | |
|
15072 Rosecrans Ave La Mirada CA 90638-4740 | |
| (714) 522-5152 | |
| (714) 522-5162 |
| Full Name | Byun And Patel, A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15072 Rosecrans Ave, La Mirada, California |
| Authorized Official Name and Position | Jung-wook Byun (PRESIDENT) |
| Authorized Official Contact | 9498786680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byun And Patel, A Dental Corporation 15072 Rosecrans Ave La Mirada CA 90638-4740 Ph: (714) 522-5152 | Byun And Patel, A Dental Corporation 15072 Rosecrans Ave La Mirada CA 90638-4740 Ph: (714) 522-5152 |
| NPI Number | 1366830382 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 12/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366830382 | NPI | - | NPPES |
| 1104960574 | Other | CA | NPI |
| 1801936968 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48707 (California) | Primary |
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