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Organization
KOA DENTAL
Active
Organization
KOA DENTAL
Active
Parent organization
BRIAN KANG DENTAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIAN KANG DENTAL CORPORATION
Authorized official
DR. BRIAN YOUNG KANG DDS (PRESIDENT)
(951) 533-1958
Entity
Organization
Contact information
Practice address
3544 W OLYMPIC BLVD STE 118, LOS ANGELES, CA 90019-3529
(323) 735-0448
(323) 735-4827
Mailing address
3544 W OLYMPIC BLVD STE 118, LOS ANGELES, CA 90019-3529
(323) 735-0448
(323) 735-4827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
03/12/2024
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