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Organization
OMEGA FAMILY DENTAL
Active
Organization
OMEGA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED CHAN (DOCTOR)
(562) 595-7077
Entity
Organization
Contact information
Practice address
816 W WILLOW ST, LONG BEACH, CA 90806-2837
(562) 595-7077
(562) 490-4727
Mailing address
816 W WILLOW ST, LONG BEACH, CA 90806-2837
(562) 595-7077
(562) 490-4727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44153
CA
1223P0300X
Periodontics
46396
CA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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