Organization
HYUN MYUNG HA DDS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYUN MYUNG HA DDS (CEO)
(530) 541-8229
Entity
Organization
Contact information
Practice address
2180 LAKE TAHOE BLVD STE 5, SOUTH LAKE TAHOE, CA 96150-6409
(530) 541-8229
Mailing address
2180 LAKE TAHOE BLVD STE 5, SOUTH LAKE TAHOE, CA 96150-6409
(530) 541-8229
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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