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Organization
M JUNG AND MARY PATUWO DENTAL CORPORATION
Active
Organization
M JUNG AND MARY PATUWO DENTAL CORPORATION
Active
Other names
Smile Up Hygiene and Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DONG MIN JUNG RDH (VICE PRESIDENT)
(714) 266-0333
Entity
Organization
Contact information
Practice address
14796 BEACH BLVD, LA MIRADA, CA 90638-4217
(714) 266-0333
Mailing address
14796 BEACH BLVD, LA MIRADA, CA 90638-4217
(714) 266-0333
(714) 266-0335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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