| Davidskangddsinc | |
|
14610 Hawthorne Blvd Lawndale CA 90260-1521 | |
| (310) 676-4746 | |
| (310) 676-0944 |
| Full Name | Davidskangddsinc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14610 Hawthorne Blvd, Lawndale, California |
| Authorized Official Name and Position | David Song Kang (OWNER) |
| Authorized Official Contact | 3106764746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davidskangddsinc 14610 Hawthorne Blvd Lawndale CA 90260-1521 Ph: (310) 676-4746 | Davidskangddsinc 14610 Hawthorne Blvd Lawndale CA 90260-1521 Ph: (310) 676-4746 |
| NPI Number | 1265626667 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265626667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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