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Organization
KY HA DENTAL CORPORATION
Active
Organization
KY HA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KY QUOC HA D.D.S (PRESIDENT)
(323) 868-2399
Entity
Organization
Contact information
Practice address
2753 E MIRANDA ST, WEST COVINA, CA 91792-2222
(626) 912-9996
Mailing address
15727 PARAMOUNT BLVD # C, PARAMOUNT, CA 90723-4332
(562) 602-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49106
CA
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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