Organization
JASON OH D.D.S. INC.
Active
Other names
AV Sierra Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON JAESONG OH D.D.S. (OWNER)
(661) 273-3600
Entity
Organization
Contact information
Practice address
38427 20TH ST E, PALMDALE, CA 93550-4034
(661) 273-3600
(661) 273-3760
Mailing address
38427 20TH ST E, PALMDALE, CA 93550-4034
(661) 273-3600
(661) 273-3760
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53091
CA
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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