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6850 Lincoln Ave Ste 100 Buena Park CA 90620-4146 | |
(714) 229-1888 | |
(714) 229-0202 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 6850 Lincoln Ave Ste 100, Buena Park, California |
Authorized Official Name and Position | George Aung Kong (GENERAL MANAGER) |
Authorized Official Contact | 6267869696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11766 Valley Blvd El Monte CA 91732-3044 Ph: (626) 448-5000 | 6850 Lincoln Ave Ste 100 Buena Park CA 90620-4146 Ph: (714) 229-1888 |
NPI Number | 1477798528 |
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Provider Enumeration Date | 12/03/2008 |
Last Update Date | 12/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477798528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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