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Organization
ITOH DENTAL CORPORATION
Active
Organization
ITOH DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUICHI CLIFF ITOH D.D.S. (DENTIST)
(213) 687-3895
Entity
Organization
Contact information
Practice address
400 E 2ND ST, STE. 207, LOS ANGELES, CA 90012-4228
(213) 687-3895
(213) 687-1016
Mailing address
400 E 2ND ST, STE. 207, LOS ANGELES, CA 90012-4228
(213) 687-3895
(213) 687-1016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
07/11/2016
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