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28212 Kelly Johnson Pkwy Ste 290 Valencia CA 91355-5093 | |
(661) 254-1924 | |
Not Available |
Full Name | |
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Speciality | Dentist - Endodontics |
Location | 28212 Kelly Johnson Pkwy Ste 290, Valencia, California |
Authorized Official Name and Position | David Han (PARTNER) |
Authorized Official Contact | 6612541924 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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28212 Kelly Johnson Pkwy Ste 290 Valencia CA 91355-5093 Ph: (661) 254-1924 | 28212 Kelly Johnson Pkwy Ste 290 Valencia CA 91355-5093 Ph: (661) 254-1924 |
NPI Number | 1396136602 |
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Provider Enumeration Date | 02/09/2015 |
Last Update Date | 02/09/2015 |
Identifier | Type | State | Issuer |
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1396136602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223E0200X | Dentist - Endodontics | 47902 (California) | Primary |
Randi Oyama Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25775 Mcbean Pkwy Ste 207, Valencia, CA 91355 Phone: 661-373-4897 | |
Julian L. Nguyen D.m.d., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25528 The Old Rd, Valencia, CA 91381 Phone: 661-255-9646 Fax: 661-255-9657 | |