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Organization
MICHAEL NY MA DENTAL CORPORATION
Active
Organization
MICHAEL NY MA DENTAL CORPORATION
Active
Other names
EAST WEST DENTAL OFFICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NY MA D.D.S. (PRESIDENT)
(213) 617-9151
Entity
Organization
Contact information
Practice address
711 W COLLEGE ST, SUITE 570, LOS ANGELES, CA 90012-1163
(213) 617-9151
(213) 617-1428
Mailing address
711 W COLLEGE ST, SUITE 570, LOS ANGELES, CA 90012-1163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28954
CA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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