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Organization
WPD DENTAL GROUP
Active
Organization
WPD DENTAL GROUP
Active
Parent organization
HAN MS DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAN MS DDS
Authorized official
DR. THOMAS J HAN (EXECUTIVE OFFICER)
(213) 380-7900
Entity
Organization
Contact information
Practice address
3700 WILSHIRE BLVD STE 780, STE780, LOS ANGELES, CA 90010-3001
(213) 380-7900
Mailing address
3700 WILSHIRE BLVD STE 780, STE780, LOS ANGELES, CA 90010-3001
(213) 380-7900
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30416
CA
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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