Organization
KEITH C. HARADA, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH CHITOSE HARADA D.D.S. (PRESIDENT)
(323) 726-1544
Entity
Organization
Contact information
Practice address
1717 W BEVERLY BLVD, SUITE D, MONTEBELLO, CA 90640-3971
(323) 726-1544
(323) 726-3091
Mailing address
1717 W BEVERLY BLVD, SUITE D, MONTEBELLO, CA 90640-3971
(323) 726-1544
(323) 726-3091
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19430
CA
Other
Enumeration date
12/06/2005
Last updated
08/22/2020
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