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Organization

JITEN M VASA, DDS., INC

Active
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Organization

JITEN M VASA, DDS., INC

Active
Other names
Lakewood Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JITEN M VASA DDS (OWNER DENTIST)
(562) 860-7116
Entity
Organization

Contact information

Practice address
11455 CARSON ST STE E, LAKEWOOD, CA 90715-2581
(562) 860-7116
(562) 860-7115
Mailing address
11455 CARSON ST STE E, LAKEWOOD, CA 90715-2581
(562) 860-7116
(562) 860-7115

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30025
CA

Other

Enumeration date
05/23/2007
Last updated
06/17/2010
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