Louis Hong Dental Corporation | |
1714 Freedom Blvd Freedom CA 95019-3025 | |
(831) 768-0707 | |
Not Available |
Full Name | Louis Hong Dental Corporation |
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Speciality | Clinic/center - Dental |
Location | 1714 Freedom Blvd, Freedom, California |
Authorized Official Name and Position | Louis Hong (CEO) |
Authorized Official Contact | 8317680707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Louis Hong Dental Corporation 1714 Freedom Blvd Freedom CA 95019-3025 Ph: (831) 768-0707 | Louis Hong Dental Corporation 1714 Freedom Blvd Freedom CA 95019-3025 Ph: (831) 768-0707 |
NPI Number | 1093116949 |
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Provider Enumeration Date | 09/10/2014 |
Last Update Date | 09/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093116949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 46266 (California) | Primary |
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