Dr. Joan Otomo-Corgel, DDS, MPH
Dentist, Periodontics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1346356045
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346356045
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joan Otomo-Corgel
- Credential
- DDS, MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 25754 | CA | Yes |
Practice location
1127 Wilshire BlvdSuite #1110
Los Angeles, CA 90017-3901
Phone 213-481-0664 · Fax 213-481-2902
Mailing address
2900 Manhattan AveManhattan Beach, CA 90266-2051
Phone 310-546-3239 · Fax 310-545-4485
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All 90 Periodontics providers in Los Angeles · All 84,021 providers in Los Angeles
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