Organization
WPD DENTAL GROUP
Active
Parent organization
HAN MS DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAN MS DDS
Authorized official
DR. THOMAS J HAN (EXECUTIVE OFFICER)
(213) 380-7900
Entity
Organization
Contact information
Practice address
3700 WILSHIRE BLVD STE 780, STE780, LOS ANGELES, CA 90010-3001
(213) 380-7900
Mailing address
3700 WILSHIRE BLVD STE 780, STE780, LOS ANGELES, CA 90010-3001
(213) 380-7900
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30416
CA
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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