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9400 Whittier Blvd Pico Rivera CA 90660-2833 | |
| (562) 949-9437 | |
| (714) 535-1065 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9400 Whittier Blvd, Pico Rivera, California |
| Authorized Official Name and Position | Tu V Huynh (CEO) |
| Authorized Official Contact | 7145350998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
111 S Brookhurst St Anaheim CA 92804-2407 Ph: (714) 535-0998 | 9400 Whittier Blvd Pico Rivera CA 90660-2833 Ph: (562) 949-9437 |
| NPI Number | 1639305451 |
|---|---|
| Provider Enumeration Date | 06/08/2009 |
| Last Update Date | 06/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639305451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D48615 (California) | Primary |
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