| White Dental Group | |
|
1001 S Vermont Ave Suite 109 Los Angeles CA 90006-2756 | |
| (213) 381-0011 | |
| (213) 381-2897 |
| Full Name | White Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1001 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Seong Ho Choi (OWNER) |
| Authorized Official Contact | 2133810011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Dental Group 1001 S Vermont Ave Suite 109 Los Angeles CA 90006-2756 Ph: (213) 381-0011 | White Dental Group 1001 S Vermont Ave Suite 109 Los Angeles CA 90006-2756 Ph: (213) 381-0011 |
| NPI Number | 1538595897 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 09/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538595897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 57625 (California) | Primary |
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