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Organization
FUN DENTAL 4 KIDS
Active
Organization
FUN DENTAL 4 KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN YOO DDS (PRESIDENT)
(310) 619-5880
Entity
Organization
Contact information
Practice address
6383 ATLANTIC AVE, BELL, CA 90201-1227
(310) 619-5880
Mailing address
415 S HARVARD BLVD APT 104, LOS ANGELES, CA 90020-3412
(310) 619-5880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61918
CA
122300000X
Dentist
61938
CA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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