| Hartanto L. Justin D.d.s. , Inc | |
|
3231 N Broadway Los Angeles CA 90031-2801 | |
| (323) 221-6090 | |
| Not Available |
| Full Name | Hartanto L. Justin D.d.s. , Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3231 N Broadway, Los Angeles, California |
| Authorized Official Name and Position | Hartanto Lawrence Justin (PRESIDENT) |
| Authorized Official Contact | 3232216090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartanto L. Justin D.d.s. , Inc 3231 N Broadway Los Angeles CA 90031-2801 Ph: (323) 221-6090 | Hartanto L. Justin D.d.s. , Inc 3231 N Broadway Los Angeles CA 90031-2801 Ph: (323) 221-6090 |
| NPI Number | 1427104488 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427104488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39019 (California) | Primary |
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