| Jeffrie Maneepetasut Dmd Inc | |
|
4606 Hollywood Blvd Suite B Los Angeles CA 90027-5462 | |
| (323) 663-3850 | |
| Not Available |
| Full Name | Jeffrie Maneepetasut Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 4606 Hollywood Blvd, Los Angeles, California |
| Authorized Official Name and Position | Jeffrie Maneepetasut (PRESIDENT) |
| Authorized Official Contact | 6173125663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrie Maneepetasut Dmd Inc 4606 Hollywood Blvd Suite B Los Angeles CA 90027-5462 Ph: (323) 663-3850 | Jeffrie Maneepetasut Dmd Inc 4606 Hollywood Blvd Suite B Los Angeles CA 90027-5462 Ph: (323) 663-3850 |
| NPI Number | 1285815340 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285815340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53468 (California) | Primary |
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