Wpd Dental Group
Dentist, Periodontics in Los Angeles, CA. Organization (NPI-2).
NPI number1982002002
StatusActive
Last updated in NPPESDec 6, 2014
Details
- NPI
- 1982002002
- Entity type
- Organization (NPI-2)
- Legal business name
- Wpd Dental Group
- Organization subpart
- Yes
- Enumeration date
- Dec 6, 2014
- Last updated
- Dec 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 30416 | CA | Yes |
Practice location
3700 Wilshire Blvd Ste 780Ste780
Los Angeles, CA 90010-3001
Phone 213-380-7900
Mailing address
3700 Wilshire Blvd Ste 780Ste780
Los Angeles, CA 90010-3001
Phone 213-380-7900
Authorized official
Thomas J Han
Executive Officer
2133807900
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