| Sung K. Ro Dds A Professioanl Dental Corp | |
| 
					1733 W La Palma Ave Ste B Anaheim CA 92801-3548  | |
| (714) 808-0113 | |
| (714) 808-9756 | 
| Full Name | Sung K. Ro Dds A Professioanl Dental Corp | 
|---|---|
| Speciality | Dentist | 
| Location | 1733 W La Palma Ave Ste B, Anaheim, California | 
| Authorized Official Name and Position | Sung K Ro (DENTIST/OWNER) | 
| Authorized Official Contact | 7148080113 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sung K. Ro Dds A Professioanl Dental Corp 1733 W La Palma Ave Ste B Anaheim CA 92801-3548 Ph: (714) 808-0113  | Sung K. Ro Dds A Professioanl Dental Corp 1733 W La Palma Ave Ste B Anaheim CA 92801-3548 Ph: (714) 808-0113  | 
| NPI Number | 1245669704 | 
|---|---|
| Provider Enumeration Date | 11/05/2013 | 
| Last Update Date | 11/05/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245669704 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 26224 (California) | Primary | 
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