Organization
LOS ALAMITOS ENDODONTICS DENTAL PRACTICE OF POLK AND LIVINGFORD
Active
Other names
Lawrence H. Ota, DDS & Aileen E. Jitsumyo, DDS A Professional Corporat
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP LIVINGOOD D.D.S. (SECRETARY)
(562) 596-1664
Entity
Organization
Contact information
Practice address
3551 FARQUHAR AVE, SUITE 201, LOS ALAMITOS, CA 90720-2003
(562) 596-1664
(562) 431-5934
Mailing address
3551 FARQUHAR AVE, SUITE 201, LOS ALAMITOS, CA 90720-2003
(562) 596-1664
(562) 431-5934
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
27471
CA
1223E0200X
Endodontics
31361
CA
Other
Enumeration date
05/14/2007
Last updated
04/03/2015
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