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Organization
STAR WHITE DENTAL CLINIC
Active
Organization
STAR WHITE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONG KOOG NOH D.D.S (PRESIDENT)
(949) 721-1730
Entity
Organization
Contact information
Practice address
2105 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6507
(949) 721-7130
(949) 721-1709
Mailing address
2105 SAN JOAQUIN HILLS RD., NEWPORT BEACH, CA 92660
(949) 721-7130
(949) 721-1709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54697
CA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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