| Penn Soh, Dds, Corp | |
|
5300 Lankershim Blvd Ste 105 North Hollywood CA 91601-3163 | |
| (818) 505-0106 | |
| (818) 505-1063 |
| Full Name | Penn Soh, Dds, Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5300 Lankershim Blvd Ste 105, North Hollywood, California |
| Authorized Official Name and Position | Penn Soh (DENTIST/PRESIDENT/OWNER) |
| Authorized Official Contact | 8185050106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Soh, Dds, Corp 5300 Lankershim Blvd Ste 105 North Hollywood CA 91601-3163 Ph: (818) 505-0106 | Penn Soh, Dds, Corp 5300 Lankershim Blvd Ste 105 North Hollywood CA 91601-3163 Ph: (818) 505-0106 |
| NPI Number | 1336445550 |
|---|---|
| Provider Enumeration Date | 02/04/2011 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336445550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 57033 (California) | Primary |
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