Lakewood Modern Dentistry | |
5507 Woodruff Ave Lakewood CA 90713-1534 | |
(562) 920-9050 | |
(562) 920-9057 |
Full Name | Lakewood Modern Dentistry |
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Speciality | Dentist - General Practice |
Location | 5507 Woodruff Ave, Lakewood, California |
Authorized Official Name and Position | Christy Ha Thai (CEO) |
Authorized Official Contact | 5629209050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakewood Modern Dentistry 5507 Woodruff Ave Lakewood CA 90713-1534 Ph: (562) 920-9050 | Lakewood Modern Dentistry 5507 Woodruff Ave Lakewood CA 90713-1534 Ph: (562) 920-9050 |
NPI Number | 1417228263 |
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Provider Enumeration Date | 01/25/2012 |
Last Update Date | 03/15/2012 |
Identifier | Type | State | Issuer |
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1417228263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 47571 (California) | Primary |
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