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Individual

JAMES SUNGTAEK OH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 206-3904
Mailing address
1559 TRAIL RIDGE AVE, PORTAGE, MI 49024-4942

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
104656
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104656
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
06/02/2017
Last updated
12/16/2022
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