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12309 Carson St Hawaiian Gardens CA 90716-1603 | |
| (562) 403-8818 | |
| (562) 403-1024 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12309 Carson St, Hawaiian Gardens, California |
| Authorized Official Name and Position | Kwang Seob Kim (DENTIST) |
| Authorized Official Contact | 5624038818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12309 Carson St Hawaiian Gardens CA 90716-1603 Ph: (562) 403-8818 | 12309 Carson St Hawaiian Gardens CA 90716-1603 Ph: (562) 403-8818 |
| NPI Number | 1851863393 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 06/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851863393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Sahawneh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21714 Pioneer Blvd, Hawaiian Gardens, CA 90716 Phone: 562-421-3737 | |
Hyun Chan Lee Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12137 E Carson St, Hawaiian Gardens, CA 90716 Phone: 562-402-8060 Fax: 562-809-1552 | |
Young Rae Kim, Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12144 E. Carson Street, Suite E, Hawaiian Gardens, CA 90716 Phone: 562-982-1380 Fax: 562-982-1383 | |
Keun Chan Lee Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12531 Carson St, Hawaiian Gardens, CA 90716 Phone: 562-924-2448 Fax: 562-402-7587 |