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Organization
MIN LWIN DDS
Active
Organization
MIN LWIN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIN LWIN (OWNER)
(626) 571-7000
Entity
Organization
Contact information
Practice address
8038 GARVEY AVE STE B, ROSEMEAD, CA 91770-2483
(626) 571-7000
(626) 571-8454
Mailing address
8038 GARVEY AVE STE B, ROSEMEAD, CA 91770-2483
(626) 571-7000
(626) 571-8454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9169202
DENTI-CAL
CA
Enumeration date
01/30/2015
Last updated
01/30/2015
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