| La Brea Family Dental Practice | |
|
3400 S La Brea Ave Los Angeles CA 90016-5217 | |
| (323) 734-2284 | |
| (323) 734-3178 |
| Full Name | La Brea Family Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3400 S La Brea Ave, Los Angeles, California |
| Authorized Official Name and Position | Kilpyung Auh (PRESIDENT / OFFICER) |
| Authorized Official Contact | 3237342284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Brea Family Dental Practice 3400 S La Brea Ave Los Angeles CA 90016-5217 Ph: (323) 734-2284 | La Brea Family Dental Practice 3400 S La Brea Ave Los Angeles CA 90016-5217 Ph: (323) 734-2284 |
| NPI Number | 1760602635 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 11/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760602635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26300 (California) | Primary |
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