Wilshire Cosmetic & Implant Dentistry Group | |
3550 Wilshire Blvd 835 Los Angeles CA 90010-2401 | |
(213) 251-0066 | |
(213) 380-8228 |
Full Name | Wilshire Cosmetic & Implant Dentistry Group |
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Speciality | Clinic/center - Dental |
Location | 3550 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Yun S Lee (PRESIDENT) |
Authorized Official Contact | 2132510066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wilshire Cosmetic & Implant Dentistry Group 3550 Wilshire Blvd 835 Los Angeles CA 90010-2401 Ph: (213) 251-0066 | Wilshire Cosmetic & Implant Dentistry Group 3550 Wilshire Blvd 835 Los Angeles CA 90010-2401 Ph: (213) 251-0066 |
NPI Number | 1881887420 |
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Provider Enumeration Date | 08/27/2007 |
Last Update Date | 08/27/2007 |
Identifier | Type | State | Issuer |
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1881887420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 53238 (California) | Primary |
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