| Jw Jacob Chae Dmd Inc | |
|
15862 Imperial Hwy La Mirada CA 90638-2512 | |
| (213) 705-3811 | |
| Not Available |
| Full Name | Jw Jacob Chae Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15862 Imperial Hwy, La Mirada, California |
| Authorized Official Name and Position | Jacob Chae (CEO/DENTIST) |
| Authorized Official Contact | 2137053811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jw Jacob Chae Dmd Inc 15862 Imperial Hwy La Mirada CA 90638-2512 Ph: (213) 705-3811 | Jw Jacob Chae Dmd Inc 15862 Imperial Hwy La Mirada CA 90638-2512 Ph: (213) 705-3811 |
| NPI Number | 1780412890 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780412890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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