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Organization
SOUTH PASADENA GENERAL DENTISTRY INC
Active
Organization
SOUTH PASADENA GENERAL DENTISTRY INC
Active
Other names
Community Dental Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LEUNG DDS (DIRECTOR)
(626) 799-2888
Entity
Organization
Contact information
Practice address
1506 HUNTINGTON DRIVE, SOUTH PASADENA, CA 91030
(626) 799-2888
(626) 799-3208
Mailing address
1506 HUNTINGTON DRIVE, SOUTH PASADENA, CA 91030
(626) 799-2888
(626) 799-3208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25783
CA
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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