REVADEE TAN VERANUNT DDS

LOS ANGELES, CA
NPI1528811049
Entity TypeOrganization
Authorized ContactREVADEE TAN VERANUNT
Owner Dentist
323-666-9881
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-04-08
Last Update Date2024-04-08
Business Address
REVADEE TAN VERANUNT DDS
5065 HOLLYWOOD BLVD STE 205
LOS ANGELES, CA 90027-6122
Phone number: 323-666-9881
Mailing Address
REVADEE TAN VERANUNT DDS
5065 HOLLYWOOD BLVD STE 205
LOS ANGELES, CA 90027-6122
Phone number: 323-666-9881