MEDICARE: A PLUS DENTAL

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
1	122300000X	Dentist	56112	CA

General Provider Information

NPI Number	:	1417385832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS DENTAL

Provider Business Mailing Address
First Line	:	2520 W 8TH ST
Second Line	:	SUITE 207
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3861
Country	:	US
Telephone Number	:	213-380-1894
Fax Number	:	213-380-2793

Provider Business Practice Location Address
First Line	:	2520 W 8TH ST
Second Line	:	SUITE 207
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3861
Country	:	US
Telephone Number	:	213-380-1894
Fax Number	:	213-380-2793

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EUNA JOY
Credential	:
Telephone Number	:	213-380-1894

Provider Enumeration Date	:	10/22/2013
Last Update Date	:	10/22/2013

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Directions to “A PLUS DENTAL ” Practice Location

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