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12923 Inglewood Ave Suite 3 Hawthorne CA 90250-5139 | |
| (310) 679-6464 | |
| (310) 679-6466 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12923 Inglewood Ave, Hawthorne, California |
| Authorized Official Name and Position | Minh Phuong Do (PRESIDENT) |
| Authorized Official Contact | 3106796464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12923 Inglewood Ave Suite 3 Hawthorne CA 90250-5139 Ph: (310) 679-6464 | 12923 Inglewood Ave Suite 3 Hawthorne CA 90250-5139 Ph: (310) 679-6464 |
| NPI Number | 1699886473 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699886473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54411 (California) | Primary |
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