| Del Amo Dental Office | |
|
11899 Del Amo Blvd Cerritos CA 90703-7605 | |
| (562) 402-4411 | |
| (562) 402-5052 |
| Full Name | Del Amo Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 11899 Del Amo Blvd, Cerritos, California |
| Authorized Official Name and Position | Peter Ung Kwon Kim (PRESIDENT) |
| Authorized Official Contact | 5624024411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Del Amo Dental Office 11899 Del Amo Blvd Cerritos CA 90703-7605 Ph: (562) 402-4411 | Del Amo Dental Office 11899 Del Amo Blvd Cerritos CA 90703-7605 Ph: (562) 402-4411 |
| NPI Number | 1275753733 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275753733 | NPI | - | NPPES |
| G92845-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49769 (California) | Primary |
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