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Organization
WESTERN DENTAL
Active
Organization
WESTERN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOO HYEONG YOO DDS (ASSOCIATE DENTIST)
(310) 570-9731
Entity
Organization
Contact information
Practice address
530 S MAIN ST, ORANGE, CA 92868-4525
(800) 579-3783
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(800) 579-3783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
65242
CA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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