Organization
ANGELICA Y ANG, DDS INC
Active
Other names
Riverside La Maida Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME CHUA (OFFICE MANAGER)
(818) 980-2647
Entity
Organization
Contact information
Practice address
12660 RIVERSIDE DR, SUITE 330, NORTH HOLLYWOOD, CA 91607-3429
(818) 980-2647
(818) 980-8901
Mailing address
12660 RIVERSIDE DR, SUITE 330, NORTH HOLLYWOOD, CA 91607-3429
(818) 980-2647
(818) 980-8901
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
37076
CA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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