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Organization
HAN, JANG, SON & SUH, DENTAL GROUP, PC
Active
Organization
HAN, JANG, SON & SUH, DENTAL GROUP, PC
Active
Other names
Wilshire Park Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE JAY HARRIS DDS (CORPORATE SEC./ EXEC. DIRECTOR)
(213) 380-7900
Entity
Organization
Contact information
Practice address
3700 WILSHIRE BLVD, 780, LOS ANGELES, CA 90010-2901
(213) 380-7900
(213) 382-3454
Mailing address
3700 WILSHIRE BLVD, 780, LOS ANGELES, CA 90010-2901
(213) 380-7900
(213) 382-3454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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