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Organization
ULTERIOR DENTAL HYGIENE PRACTICE OF BENJAMIN COREY
Active
Organization
ULTERIOR DENTAL HYGIENE PRACTICE OF BENJAMIN COREY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN FREDRIC COREY RDHAP (OWNER)
(626) 755-0003
Entity
Organization
Contact information
Practice address
17120 RIDGE PARK DR, HACIENDA HEIGHTS, CA 91745-3848
(626) 755-0003
Mailing address
65 PINE AVE # 360, LONG BEACH, CA 90802-4718
(626) 755-0003
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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