Pacific Ocean Dental Group | |
5161 Pomona Blvd Ste 112 Los Angeles CA 90022-1772 | |
(323) 262-2600 | |
(323) 262-2601 |
Full Name | Pacific Ocean Dental Group |
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Speciality | Dentist |
Location | 5161 Pomona Blvd Ste 112, Los Angeles, California |
Authorized Official Name and Position | Hyun Sook Lim (DDS) |
Authorized Official Contact | 3232622600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pacific Ocean Dental Group 5161 Pomona Blvd Ste 112 Los Angeles CA 90022-1772 Ph: (323) 262-2600 | Pacific Ocean Dental Group 5161 Pomona Blvd Ste 112 Los Angeles CA 90022-1772 Ph: (323) 262-2600 |
NPI Number | 1154758258 |
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Provider Enumeration Date | 10/03/2013 |
Last Update Date | 10/03/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154758258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 56187 (California) | Primary |
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