Miracle Mile Comprehensive Dental | |
5455 Wilshire Blvd # 850 Los Angeles CA 90036-4201 | |
(323) 930-4600 | |
(323) 930-4604 |
Full Name | Miracle Mile Comprehensive Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 5455 Wilshire Blvd # 850, Los Angeles, California |
Authorized Official Name and Position | Hak Cheon Kim (CEO) |
Authorized Official Contact | 3239304600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Miracle Mile Comprehensive Dental 5455 Wilshire Blvd # 850 Los Angeles CA 90036-4201 Ph: (323) 930-4600 | Miracle Mile Comprehensive Dental 5455 Wilshire Blvd # 850 Los Angeles CA 90036-4201 Ph: (323) 930-4600 |
NPI Number | 1023141728 |
---|---|
Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023141728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 36394 (California) | Primary |
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