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151 S Mednik Ave East Los Angeles CA 90022-1606 | |
(323) 263-3303 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 151 S Mednik Ave, East Los Angeles, California |
Authorized Official Name and Position | Michelle Pui Han To (OWNER) |
Authorized Official Contact | 3232633303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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151 S Mednik Ave East Los Angeles CA 90022-1606 Ph: (323) 263-3303 | 151 S Mednik Ave East Los Angeles CA 90022-1606 Ph: (323) 263-3303 |
NPI Number | 1972528958 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 08/14/2007 |
Identifier | Type | State | Issuer |
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1972528958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | 46337 (California) | Primary |