| Ky Ha Dental Corporation | |
|
2753 E Miranda St West Covina CA 91792-2222 | |
| (626) 912-9996 | |
| Not Available |
| Full Name | Ky Ha Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2753 E Miranda St, West Covina, California |
| Authorized Official Name and Position | Ky Quoc Ha (PRESIDENT) |
| Authorized Official Contact | 3238682399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ky Ha Dental Corporation 15727 Paramount Blvd # C Paramount CA 90723-4332 Ph: (562) 602-1200 | Ky Ha Dental Corporation 2753 E Miranda St West Covina CA 91792-2222 Ph: (626) 912-9996 |
| NPI Number | 1174764856 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 03/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174764856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49106 (California) | Primary |
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