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41253 12th St W Suite C Palmdale CA 93551-1413 | |
(661) 266-2604 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 41253 12th St W, Palmdale, California |
Authorized Official Name and Position | David Han (PARTNER) |
Authorized Official Contact | 3238390450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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41253 12th St W Suite C Palmdale CA 93551-1413 Ph: (661) 266-2604 | 41253 12th St W Suite C Palmdale CA 93551-1413 Ph: (661) 266-2604 |
NPI Number | 1285008490 |
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Provider Enumeration Date | 11/26/2015 |
Last Update Date | 11/26/2015 |
Identifier | Type | State | Issuer |
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1285008490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |