| Vicente P. Son, Dds A Professional Dental Corp. | |
|
3875 Wilshire Blvd Ste 602 Los Angeles CA 90010-3211 | |
| (213) 739-0120 | |
| (213) 739-0720 |
| Full Name | Vicente P. Son, Dds A Professional Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 3875 Wilshire Blvd Ste 602, Los Angeles, California |
| Authorized Official Name and Position | Vicente P Son (PRESIDENT) |
| Authorized Official Contact | 2137390120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicente P. Son, Dds A Professional Dental Corp. 3875 Wilshire Blvd Ste 602 Los Angeles CA 90010-3211 Ph: (213) 739-0120 | Vicente P. Son, Dds A Professional Dental Corp. 3875 Wilshire Blvd Ste 602 Los Angeles CA 90010-3211 Ph: (213) 739-0120 |
| NPI Number | 1326462045 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326462045 | NPI | - | NPPES |
| 1801810833 | Other | CA | NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41552 (California) | Primary |
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