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Organization
JUSTIN GHIAM, D.D.S., INC.
Active
Organization
JUSTIN GHIAM, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN GHIAM DDS (PRESIDENT)
(424) 281-9956
Entity
Organization
Contact information
Practice address
11762 FIRESTONE BLVD, NORWALK, CA 90650-2898
(562) 667-5437
Mailing address
11762 FIRESTONE BLVD, NORWALK, CA 90650-2898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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