Organization
AMERICAN DENTAL IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER CHA DMD, MS (OWNER)
(626) 577-7770
Entity
Organization
Contact information
Practice address
3007 HUNTINGTON DR STE 201, PASADENA, CA 91107-5522
(626) 577-7770
(626) 577-7777
Mailing address
3007 HUNTINGTON DR STE 201, PASADENA, CA 91107-5522
(626) 577-7770
(626) 577-7777
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
55788
CA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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