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Organization
NOLAN Y MAEHARA DDS INC
Active
Organization
NOLAN Y MAEHARA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE MIMURA (OFFICE MANAGER)
(213) 481-3911
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD, SUITE 1101, LOS ANGELES, CA 90017
(213) 481-3911
(213) 481-7097
Mailing address
1127 WILSHIRE BLVD, SUITE 1101, LOS ANGELES, CA 90017
(213) 481-3911
(213) 481-7097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2558901
DENTI CAL
CA
Enumeration date
04/25/2007
Last updated
08/22/2020
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