| Ohana Dental Group | |
|
1414 W Colorado Blvd Pasadena CA 91105-1414 | |
| (626) 714-7877 | |
| (626) 714-7876 |
| Full Name | Ohana Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1414 W Colorado Blvd, Pasadena, California |
| Authorized Official Name and Position | Donggil Kang (CEO/DOCTOR) |
| Authorized Official Contact | 9099124270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Dental Group 668 N Los Robles Ave Pasadena CA 91101-1004 Ph: (626) 714-7877 | Ohana Dental Group 1414 W Colorado Blvd Pasadena CA 91105-1414 Ph: (626) 714-7877 |
| NPI Number | 1508372269 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508372269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 64566 (California) | Primary |
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