Tae Kyun Ha, DDS

NPI #1225635600 in La Mirada, California

Provider Information

NPI Number: 1225635600
Entity Type: Individual
Name: Tae Kyun Ha, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 12271 LA MIRADA BLVD STE 201
City: La Mirada
State: California
ZIP Code: 90638-1336
Phone: (562) 445-3555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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