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Organization
LA-PHAM AND KANSAGRA DENTAL CORPORATION
Active
Organization
LA-PHAM AND KANSAGRA DENTAL CORPORATION
Active
Other names
Bixby Knolls Modern Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINH LA-PHAM DDS (OWNER DENTIST)
(310) 579-6465
Entity
Organization
Contact information
Practice address
4578 ATLANTIC AVE, LONG BEACH, CA 90807
(310) 579-6465
(310) 579-6556
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8500
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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