| Lakewood Omf Surgery, Inc. | |
|
4448 E Village Rd Long Beach CA 90808-1540 | |
| (562) 421-9369 | |
| (562) 420-8950 |
| Full Name | Lakewood Omf Surgery, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4448 E Village Rd, Long Beach, California |
| Authorized Official Name and Position | David Hwan Kim (PRESIDENT) |
| Authorized Official Contact | 5624219369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Omf Surgery, Inc. 4448 E Village Rd Long Beach CA 90808-1540 Ph: (562) 421-9369 | Lakewood Omf Surgery, Inc. 4448 E Village Rd Long Beach CA 90808-1540 Ph: (562) 421-9369 |
| NPI Number | 1285927350 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285927350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | A87499 (California) | Primary |
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