Organization
ANKIT VASA DDS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT JITEN VASA (OWNER)
(714) 496-9816
Entity
Organization
Contact information
Practice address
14509 PIONEER BLVD, NORWALK, CA 90650-4875
(562) 863-5701
Mailing address
7951 LOUISE LN, LA PALMA, CA 90623-1627
(714) 496-9816
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60451
CA
Other
Enumeration date
04/20/2016
Last updated
06/09/2016
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