| Wakamatsu & Wakamatsu Dds | |
|
420 East Third Street Suite 702 Los Angeles CA 90013-1647 | |
| (213) 626-0561 | |
| (213) 626-0564 |
| Full Name | Wakamatsu & Wakamatsu Dds |
|---|---|
| Speciality | Dentist |
| Location | 420 East Third Street, Los Angeles, California |
| Authorized Official Name and Position | Tod Hitoshi Wakamatsu (PARTNER) |
| Authorized Official Contact | 2136260561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakamatsu & Wakamatsu Dds 420 East Third Street Suite 702 Los Angeles CA 90013-1647 Ph: (213) 626-0561 | Wakamatsu & Wakamatsu Dds 420 East Third Street Suite 702 Los Angeles CA 90013-1647 Ph: (213) 626-0561 |
| NPI Number | 1124133350 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124133350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39574 (California) | Primary |
| 122300000X | Dentist | 16661 (California) | Secondary |
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