Organization
ADRIENNE FANG,DDS, PROF CORP
Active
Other names
Adrienne Fang, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE FANG-LALAS DDS (PRESIDENT)
(818) 795-1391
Entity
Organization
Contact information
Practice address
1037 N VISTA ST, #201, WEST HOLLYWOOD, CA 90046-6642
(818) 795-1391
Mailing address
1037 N VISTA ST, #201, WEST HOLLYWOOD, CA 90046-6642
(818) 795-1391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52386
CA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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