| Htut Dental Corp | |
|
1413 Foothill Blvd Ste B La Verne CA 91750-3418 | |
| (909) 596-1831 | |
| Not Available |
| Full Name | Htut Dental Corp |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1413 Foothill Blvd Ste B, La Verne, California |
| Authorized Official Name and Position | Myat Htut (CEO) |
| Authorized Official Contact | 6264665492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Htut Dental Corp 1413 Foothill Blvd Ste B La Verne CA 91750-3418 Ph: () - | Htut Dental Corp 1413 Foothill Blvd Ste B La Verne CA 91750-3418 Ph: (909) 596-1831 |
| NPI Number | 1790325058 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 05/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790325058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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