| Oh Jae Kwon Dental Corporation | |
|
833 W Whittier Blvd Montebello CA 90640-4735 | |
| (909) 576-7175 | |
| Not Available |
| Full Name | Oh Jae Kwon Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 833 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | Oh Jae Kwon (PRESIDENT) |
| Authorized Official Contact | 9095767175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oh Jae Kwon Dental Corporation 833 W Whittier Blvd Montebello CA 90640-4735 Ph: (909) 576-7175 | Oh Jae Kwon Dental Corporation 833 W Whittier Blvd Montebello CA 90640-4735 Ph: (909) 576-7175 |
| NPI Number | 1356812689 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356812689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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