Individual
CHRISTINE JI-HAE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
914 S. VERMONT AVE., 104, LOS ANGELES, CA 90006
(213) 427-6070
(213) 427-6077
Mailing address
914 SOUTH VERMONT AVE., 104, LOS ANGELES, CA 90006
(213) 427-6070
(213) 427-6077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60844
CA
Other
Enumeration date
10/26/2011
Last updated
05/07/2012
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