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Organization
KATHERINE GRACE OGTONG, DDS, INC.
Active
Organization
KATHERINE GRACE OGTONG, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE GRACE OGTONG DDS (PRESIDENT)
(818) 775-9994
Entity
Organization
Contact information
Practice address
20200 SATICOY ST, SUITE E, WINNETKA, CA 91306-4464
(818) 775-9994
(818) 775-9696
Mailing address
20200 SATICOY ST, SUITE E, WINNETKA, CA 91306-4464
(818) 775-9994
(818) 775-9696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D48975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D48975
CALIFORNIA DENTAL LICENSE
CA
Enumeration date
01/31/2007
Last updated
08/21/2007
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