| Moa Dental Group | |
|
3226 Sepulveda Blvd Torrance CA 90505-2719 | |
| (310) 530-2875 | |
| (310) 891-2828 |
| Full Name | Moa Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3226 Sepulveda Blvd, Torrance, California |
| Authorized Official Name and Position | Jongwook Lee (PRESIDENT) |
| Authorized Official Contact | 3105302875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moa Dental Group 3226 Sepulveda Blvd Torrance CA 90505-2719 Ph: (310) 530-2875 | Moa Dental Group 3226 Sepulveda Blvd Torrance CA 90505-2719 Ph: (310) 530-2875 |
| NPI Number | 1669604377 |
|---|---|
| Provider Enumeration Date | 08/13/2009 |
| Last Update Date | 08/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669604377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 53714 (California) | Primary |
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