# DOE MYUNG NA, D.D.S. A DENTAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528295672
- **Authorized official:** DR. DOE MYUNG NA D.D.S. (CEO)
- **Authorized official phone:** (818) 343-3916

## Contact information

- **Practice address:** 7604 RESEDA BLVD, RESEDA, CA 91335-2822
- **Practice address phone:** (818) 343-3916
- **Practice address fax:** (818) 343-9640
- **Mailing address:** 7604 RESEDA BLVD, RESEDA, CA 91335-2822
- **Mailing address phone:** (818) 343-3916
- **Mailing address fax:** (818) 343-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 29391 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 06/16/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B29391-01 | DENTICAL | CA |