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Organization

DARAPORN TANPATTANA, D.D.S., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DARAPORN TANPATTANA D.D.S. (PRACTICE ASSOCIATE)
(310) 473-2727
Entity
Organization

Contact information

Practice address
11340 W OLYMPIC BLVD, #360, LOS ANGELES, CA 90064-1608
(310) 473-2727
(310) 473-2141
Mailing address
11340 W OLYMPIC BLVD, #360, LOS ANGELES, CA 90064-1608
(310) 473-2727
(310) 473-2141

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
47326
CA

Other

Enumeration date
05/08/2007
Last updated
08/22/2020
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