NPI: 1689805012
Provider Name: KOSAL KOM, DDS, INC
Former Legal Business Name: KOSAL KOM, DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
2338 E ANAHEIM ST
SUITE 108
LONG BEACH, CA
ZIP 90804
Phone: (562) 434-9980
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KOSAL KOM, DDS, INC is a general practice dentist in Long Beach, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KOSAL KOM, DDS, INC NPI is 1689805012. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Kosal Kom, Dds.
The provider's business location address is:
2338 E ANAHEIM ST
SUITE 108
LONG BEACH, CA
ZIP 90804-730
Phone: (562) 434-9980
The provider's authorized official is Kosal Kom .
The authorized official title is President and has the following contact phone number (562) 434-9980.
The enumeration date for this NPI number is 8/3/2009 and was last updated on 8/3/2009.