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5697 Woodruff Ave Lakewood CA 90713-1129 | |
| (562) 920-8880 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 5697 Woodruff Ave, Lakewood, California |
| Authorized Official Name and Position | Khai H Tran (OWNER) |
| Authorized Official Contact | 9493948938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5697 Woodruff Ave Lakewood CA 90713-1129 Ph: (562) 920-8880 | 5697 Woodruff Ave Lakewood CA 90713-1129 Ph: (562) 920-8880 |
| NPI Number | 1962542043 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962542043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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