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NPI Code Detail

MEDICARE: MIN LWIN DDS

MEDICARE: MIN LWIN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry39985CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G9169202OTHERCADENTI-CAL

General Provider Information

NPI Number : 1215327135
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIN LWIN DDS
Provider Business Mailing Address
First Line : 8038 GARVEY AVE STE B
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2483
Country : US
Telephone Number : 626-571-7000
Fax Number : 626-571-8454
Provider Business Practice Location Address
First Line : 8038 GARVEY AVE STE B
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2483
Country : US
Telephone Number : 626-571-7000
Fax Number : 626-571-8454
Authorized Official
Title or Position : OWNER
Name : MIN LWIN
Credential :
Telephone Number : 626-571-7000
Provider Enumeration Date : 01/30/2015
Last Update Date : 01/30/2015

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Directions to “MIN LWIN DDS ” Practice Location

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