| Kosal Kom, Dds, Inc | |
|
2338 E Anaheim St Suite 108 Long Beach CA 90804-5730 | |
| (562) 434-9980 | |
| Not Available |
| Full Name | Kosal Kom, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2338 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Kosal Kom (PRESIDENT) |
| Authorized Official Contact | 5624349980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kosal Kom, Dds, Inc 2338 E Anaheim St Suite 108 Long Beach CA 90804-5730 Ph: (562) 434-9980 | Kosal Kom, Dds, Inc 2338 E Anaheim St Suite 108 Long Beach CA 90804-5730 Ph: (562) 434-9980 |
| NPI Number | 1689805012 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 08/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689805012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41442 (California) | Primary |
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