| |
328 N. Garfield Ave Suite #a & B Monterey Park CA 91754 | |
(626) 288-1688 | |
(626) 872-0650 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 328 N. Garfield Ave, Monterey Park, California |
Authorized Official Name and Position | Kevin C. Kang (CEO) |
Authorized Official Contact | 6262881688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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328 N. Garfield Ave #a & B Monterey Park CA 91754 Ph: (626) 288-1688 | 328 N. Garfield Ave Suite #a & B Monterey Park CA 91754 Ph: (626) 288-1688 |
NPI Number | 1972775062 |
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Provider Enumeration Date | 03/28/2008 |
Last Update Date | 07/16/2012 |
Identifier | Type | State | Issuer |
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1972775062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D8978501 (California) | Secondary |
1223G0001X | Dentist - General Practice | 51945 (California) | Primary |
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