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NPI Code Detail

MEDICARE: HUONG T BANH RDH

MEDICARE: HUONG T BANH RDH
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
1124Q00000XDental Hygienist25197CA

General Provider Information

NPI Number : 1952742074
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUONG T BANH RDH
Provider Business Mailing Address
First Line : 12121 WILSHIRE BLVD STE 1111
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-1188
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12121 WILSHIRE BLVD STE 1111
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-1188
Country : US
Telephone Number : 310-820-9933
Fax Number : 310-820-0408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2013
Last Update Date : 07/17/2013

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Directions to “ HUONG T BANH RDH” Practice Location

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