| Crown Dental Group | |
|
1295 S. La Brea Ave. #101 Inglewood CA 90301 | |
| (310) 672-0129 | |
| Not Available |
| Full Name | Crown Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1295 S. La Brea Ave., Inglewood, California |
| Authorized Official Name and Position | Mike M Kang (PRESIDENT) |
| Authorized Official Contact | 3106720129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Dental Group 1295 S. La Brea Ave. #101 Inglewood CA 90301 Ph: (310) 672-0129 | Crown Dental Group 1295 S. La Brea Ave. #101 Inglewood CA 90301 Ph: (310) 672-0129 |
| NPI Number | 1295947968 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295947968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45473 (California) | Primary |
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