| Section Of Orthodontics | |
|
10833 Le Conte Ave Chs 20-140 Los Angeles CA 90095-3075 | |
| (310) 825-5161 | |
| (310) 206-5349 |
| Full Name | Section Of Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10833 Le Conte Ave, Los Angeles, California |
| Authorized Official Name and Position | Kang Kting (CHAIR OF ORTHODONTICS) |
| Authorized Official Contact | 3108255161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Section Of Orthodontics 10833 Le Conte Ave Chs 20-140 Los Angeles CA 90095-3075 Ph: (310) 825-5161 | Section Of Orthodontics 10833 Le Conte Ave Chs 20-140 Los Angeles CA 90095-3075 Ph: (310) 825-5161 |
| NPI Number | 1700069051 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700069051 | NPI | - | NPPES |
| G0100502 | Other | CA | MEDI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D51398 (California) | Primary |
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