Lakeview Family Dental | |
11998 Foothill Boulevard Lake View Terrace CA 91342 | |
(818) 897-5055 | |
(818) 897-0218 |
Full Name | Lakeview Family Dental |
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Speciality | Dentist |
Location | 11998 Foothill Boulevard, Lake View Terrace, California |
Authorized Official Name and Position | Susan Ji Hyun Kim (OWNER) |
Authorized Official Contact | 8188975055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeview Family Dental 11998 Foothill Boulevard Lake View Terrace CA 91342 Ph: (818) 897-5055 | Lakeview Family Dental 11998 Foothill Boulevard Lake View Terrace CA 91342 Ph: (818) 897-5055 |
NPI Number | 1285836635 |
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Provider Enumeration Date | 06/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1285836635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 48731 (California) | Primary |