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M JUNG AND MARY PATUWO DENTAL CORPORATION NPI 1942966759


NPI Information

NPI: 1942966759
Provider Name: M JUNG AND MARY PATUWO DENTAL CORPORATION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
14796 BEACH BLVD
LA MIRADA, CA
ZIP 90638
Phone: (714) 266-0333
Get Directions

M JUNG AND MARY PATUWO DENTAL CORPORATION is a general practice dentist in La Mirada, 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. M JUNG AND MARY PATUWO DENTAL CORPORATION NPI is 1942966759. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14796 BEACH BLVD
LA MIRADA, CA
ZIP 90638-217
Phone: (714) 266-0333

The provider's authorized official is Dong Min Jung .
The authorized official title is Vice President and has the following contact phone number (714) 266-0333.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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