| Ken M. Harada, D.d.s., Inc. | |
|
10874 Washington Blvd Culver City CA 90232-3610 | |
| (310) 837-5121 | |
| (310) 837-9409 |
| Full Name | Ken M. Harada, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10874 Washington Blvd, Culver City, California |
| Authorized Official Name and Position | Ken Morrison Harada (PRESIDENT) |
| Authorized Official Contact | 3108375121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken M. Harada, D.d.s., Inc. 10874 Washington Blvd Culver City CA 90232-3610 Ph: (310) 837-5121 | Ken M. Harada, D.d.s., Inc. 10874 Washington Blvd Culver City CA 90232-3610 Ph: (310) 837-5121 |
| NPI Number | 1255491965 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255491965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25534 (California) | Primary |
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