Organization
ULTERIOR DENTAL HYGIENE PRACTICE OF BENJAMIN COREY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN FREDRIC COREY RDHAP (OWNER)
(626) 755-0003
Entity
Organization
Contact information
Practice address
17120 RIDGE PARK DR, HACIENDA HEIGHTS, CA 91745-3848
(626) 755-0003
Mailing address
65 PINE AVE # 360, LONG BEACH, CA 90802-4718
(626) 755-0003
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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