| Dr. Justin Dental Group | |
|
7208 Pacific Blvd Ste 200 Huntington Park CA 90255-5770 | |
| (323) 582-2200 | |
| (323) 582-2882 |
| Full Name | Dr. Justin Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7208 Pacific Blvd Ste 200, Huntington Park, California |
| Authorized Official Name and Position | Justin D Hwang (OWNER) |
| Authorized Official Contact | 3235822200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Justin Dental Group 7208 Pacific Blvd Ste 200 Huntington Park CA 90255-5770 Ph: (323) 582-2200 | Dr. Justin Dental Group 7208 Pacific Blvd Ste 200 Huntington Park CA 90255-5770 Ph: (323) 582-2200 |
| NPI Number | 1508061524 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508061524 | NPI | - | NPPES |
| B35273-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35273 (California) | Primary |
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