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Organization
PREMIERE DENTAL CARE, INC.
Active
Organization
PREMIERE DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASUHIRO MATSUMURA D.M.D. (PRESIDENT)
(310) 575-8828
Entity
Organization
Contact information
Practice address
11340 W. OLYMPIC BLVD, #240, LOS ANGELES, CA 90064
(310) 575-8828
(818) 591-5895
Mailing address
11340 W. OLYMPIC BLVD, #240, LOS ANGELES, CA 90064
(310) 575-8828
(818) 591-5895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39304
CA
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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