Organization
DOE MYUNG NA, D.D.S. A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOE MYUNG NA D.D.S. (CEO)
(818) 343-3916
Entity
Organization
Contact information
Practice address
7604 RESEDA BLVD, RESEDA, CA 91335-2822
(818) 343-3916
(818) 343-9640
Mailing address
7604 RESEDA BLVD, RESEDA, CA 91335-2822
(818) 343-3916
(818) 343-9640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B29391-01
DENTICAL
CA
Enumeration date
06/16/2009
Last updated
06/16/2009
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