Organization
SERAN NG DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERAN NG (PRESIDENT)
(267) 269-2526
Entity
Organization
Contact information
Practice address
126 GLENDORA AVE, LA PUENTE, CA 91744-4712
(267) 269-2526
Mailing address
15810 GALE AVE, 298, HACIENDA HEIGHTS, CA 91745-1601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59434
CA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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