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Organization
FUN DENTAL 4 KIDS 2
Active
Organization
FUN DENTAL 4 KIDS 2
Active
Other names
Fun Dental 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN YOO DDS (OWNER)
(323) 562-1301
Entity
Organization
Contact information
Practice address
1014 E MANCHESTER AVE, SUITE I, LOS ANGELES, CA 90001
(323) 562-1301
Mailing address
6383 ATLANTIC AVE, BELL, CA 90201-1227
(323) 562-1301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61918
CA
122300000X
Dentist
61938
CA
Other
Enumeration date
10/07/2016
Last updated
11/02/2016
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