| Harry Kawilarang Dds, Inc. | |
|
2553 E Slauson Ave Huntington Park CA 90255-2897 | |
| (323) 582-8008 | |
| (323) 582-4994 |
| Full Name | Harry Kawilarang Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2553 E Slauson Ave, Huntington Park, California |
| Authorized Official Name and Position | Harry Kawilarang (CEO) |
| Authorized Official Contact | 3235828008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry Kawilarang Dds, Inc. 2553 E Slauson Ave Huntington Park CA 90255-2897 Ph: (323) 582-8008 | Harry Kawilarang Dds, Inc. 2553 E Slauson Ave Huntington Park CA 90255-2897 Ph: (323) 582-8008 |
| NPI Number | 1932399565 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 06/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932399565 | NPI | - | NPPES |
| B31644 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 31644 (California) | Primary |
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