| Little Koi Pediatric Dentistry | |
|
18742 Amar Rd Walnut CA 91789-4168 | |
| (626) 828-0564 | |
| (626) 828-0425 |
| Full Name | Little Koi Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18742 Amar Rd, Walnut, California |
| Authorized Official Name and Position | Vi-khoi Kyle Duong (PRESIDENT) |
| Authorized Official Contact | 7144635058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Koi Pediatric Dentistry 18742 Amar Rd Walnut CA 91789-4168 Ph: (626) 828-0564 | Little Koi Pediatric Dentistry 18742 Amar Rd Walnut CA 91789-4168 Ph: (626) 828-0564 |
| NPI Number | 1770476905 |
|---|---|
| Provider Enumeration Date | 05/29/2025 |
| Last Update Date | 05/29/2025 |
| Certification Date | 05/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770476905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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