| Kyoung Tae Ha, D.d.s., Inc. | |
|
439 S Euclid St Anaheim CA 92802-1229 | |
| (714) 873-6691 | |
| Not Available |
| Full Name | Kyoung Tae Ha, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 439 S Euclid St, Anaheim, California |
| Authorized Official Name and Position | Kyoung Tae Ha (OWNER) |
| Authorized Official Contact | 7148736691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyoung Tae Ha, D.d.s., Inc. 1603 W Cara Dr Anaheim CA 92805-6578 Ph: (714) 873-6691 | Kyoung Tae Ha, D.d.s., Inc. 439 S Euclid St Anaheim CA 92802-1229 Ph: (714) 873-6691 |
| NPI Number | 1972360303 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 04/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972360303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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