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1679964951
STATE FAMILY DENTAL
SOUTH GATE, CA
NPI
1679964951
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Entity Type
Organization
Authorized Contact
NORAN JEONG
President
323-567-2995
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 57737)
Enumeration Date
2015-02-09
Last Update Date
2015-02-09
Business Address
STATE FAMILY DENTAL
8928 STATE ST
SOUTH GATE, CA 90280-2926
Phone number: 323-567-2995
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Mailing Address
STATE FAMILY DENTAL
516 N MARIPOSA AVE
LOS ANGELES, CA 90004-2806
Phone number: 646-236-0717
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