Philip Konopa
Dentist, General Practice in Downey, CA. Individual provider (NPI-1).
NPI number1346774155
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1346774155
- Entity type
- Individual (NPI-1)
- Name
- Philip Konopa
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 101733 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
8998 Apollo WayDowney, CA 90242-4030
Phone 562-441-7212
Mailing address
8998 Apollo WayDowney, CA 90242-4030
Other practice locations
929 Larrabee St Apt 9
West Hollywood, CA 90069-3970
West Hollywood, CA 90069-3970
Phone 206-351-9007
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