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1154434843
KY HA
WEST COVINA, CA
NPI
1154434843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 49106)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
-- KY HA D.D.S
2753 E MIRANDA ST
WEST COVINA, CA 91792-2222
Phone number: 626-912-9996
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Mailing Address
-- KY HA D.D.S
2753 E MIRANDA ST
WEST COVINA, CA 91792-2222
Phone number: 626-912-9996
Copy
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