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Michelle To, DDS INC

Dentist, Pediatric Dentistry in East Los Angeles, CA. Organization (NPI-2).

NPI number1972528958
StatusActive
Last updated in NPPESAug 14, 2007

Details

NPI
1972528958
Entity type
Organization (NPI-2)
Legal business name
Michelle To, DDS INC
Organization subpart
No
Enumeration date
Jul 12, 2006
Last updated
Aug 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry46337CAYes

Other names

  • Children'S Dental Fun Land (Doing Business As)

Practice location

151 S Mednik Ave
East Los Angeles, CA 90022-1606

Phone 323-263-3303

Mailing address

151 S Mednik Ave
East Los Angeles, CA 90022-1606

Phone 323-263-3303

Authorized official

Michelle Pui Han To
Owner
3232633303

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