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Organization

MICHELLE TO DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE PUI HAN TO DDS (DENTIST OWNER)
(818) 789-3844
Entity
Organization

Contact information

Practice address
13320 RIVERSIDE DR, SUITE 202, SHERMAN OAKS, CA 91423-2502
(818) 789-3844
Mailing address
13320 RIVERSIDE DR, SUITE 202, SHERMAN OAKS, CA 91423-2502
(818) 789-3844

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
46337
CA

Other

Enumeration date
08/22/2007
Last updated
08/22/2007
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