| Jeon Prof. Dental Corporation | |
|
116 W La Habra Blvd La Habra CA 90631-5402 | |
| (562) 697-7678 | |
| (562) 905-3272 |
| Full Name | Jeon Prof. Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 116 W La Habra Blvd, La Habra, California |
| Authorized Official Name and Position | Yeong Rok Jeon (CEO) |
| Authorized Official Contact | 5626977678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeon Prof. Dental Corporation 116 W La Habra Blvd La Habra CA 90631-5402 Ph: (562) 697-7678 | Jeon Prof. Dental Corporation 116 W La Habra Blvd La Habra CA 90631-5402 Ph: (562) 697-7678 |
| NPI Number | 1265625099 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265625099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46270 (California) | Primary |
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