| M Jung And Mary Patuwo Dental Corporation | |
|
14796 Beach Blvd La Mirada CA 90638-4217 | |
| (714) 266-0333 | |
| Not Available |
| Full Name | M Jung And Mary Patuwo Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14796 Beach Blvd, La Mirada, California |
| Authorized Official Name and Position | Dong Min Jung (VICE PRESIDENT) |
| Authorized Official Contact | 7142660333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Jung And Mary Patuwo Dental Corporation 14796 Beach Blvd La Mirada CA 90638-4217 Ph: (714) 266-0333 | M Jung And Mary Patuwo Dental Corporation 14796 Beach Blvd La Mirada CA 90638-4217 Ph: (714) 266-0333 |
| NPI Number | 1942966759 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942966759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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