Organization
HARRY KAWILARANG DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY KAWILARANG DDS (CEO)
(323) 582-8008
Entity
Organization
Contact information
Practice address
2553 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2897
(323) 582-8008
(323) 582-4994
Mailing address
2553 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2897
(323) 582-8008
(323) 582-4994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B31644
—
CA
Enumeration date
07/30/2007
Last updated
06/09/2009
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