Itoh Dental Corporation | |
400 E 2nd St Ste. 207 Los Angeles CA 90012-4228 | |
(213) 687-3895 | |
(213) 687-1016 |
Full Name | Itoh Dental Corporation |
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Speciality | Dentist |
Location | 400 E 2nd St, Los Angeles, California |
Authorized Official Name and Position | Kouichi Cliff Itoh (DENTIST) |
Authorized Official Contact | 2136873895 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Itoh Dental Corporation 400 E 2nd St Ste. 207 Los Angeles CA 90012-4228 Ph: (213) 687-3895 | Itoh Dental Corporation 400 E 2nd St Ste. 207 Los Angeles CA 90012-4228 Ph: (213) 687-3895 |
NPI Number | 1467865238 |
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Provider Enumeration Date | 06/09/2014 |
Last Update Date | 07/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467865238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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