Organization
JEFFREY KAWILARANG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KAWILARANG D.D.S. (OWNER)
(909) 576-6556
Entity
Organization
Contact information
Practice address
2553 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2897
(323) 582-8008
(323) 582-4994
Mailing address
2553 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2897
(323) 582-8008
(323) 582-4994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59562
CA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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