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Organization
ADVANCED DENTAL SMILES
Active
Organization
ADVANCED DENTAL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOAN PHUONG DAO DDS (DENTIST-OWNER)
(626) 914-9808
Entity
Organization
Contact information
Practice address
455 W. FOOTHILL BLVD, GLENDORA, CA 91741
(626) 914-9808
(626) 914-9803
Mailing address
455 W. FOOTHILL BLVD, GLENDORA, CA 91741
(626) 914-9808
(626) 914-9803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55534
CA
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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