| Doe Myung Na, D.d.s. A Dental Corp | |
|
7604 Reseda Blvd Reseda CA 91335-2822 | |
| (818) 343-3916 | |
| (818) 343-9640 |
| Full Name | Doe Myung Na, D.d.s. A Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 7604 Reseda Blvd, Reseda, California |
| Authorized Official Name and Position | Doe Myung Na (CEO) |
| Authorized Official Contact | 8183433916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doe Myung Na, D.d.s. A Dental Corp 7604 Reseda Blvd Reseda CA 91335-2822 Ph: (818) 343-3916 | Doe Myung Na, D.d.s. A Dental Corp 7604 Reseda Blvd Reseda CA 91335-2822 Ph: (818) 343-3916 |
| NPI Number | 1528295672 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528295672 | NPI | - | NPPES |
| B29391-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29391 (California) | Primary |
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