Kosal Kom, Dds, INC
NPI #1689805012 in Long Beach, California
Provider Information
- NPI Number
- 1689805012
- Entity Type
- Organization
- Organization Name
- Kosal Kom, Dds, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 3, 2009
- Last Updated
- Aug 3, 2009
Practice Location
- Address
- 2338 E ANAHEIM ST
- Address 2
- SUITE 108
- City
- Long Beach
- State
- California
- ZIP Code
- 90804-5730
- Phone
- (562) 434-9980
Authorized Official
- Name
- DR. KOSAL KOM, DDS
- Title
- PRESIDENT
- Phone
- (562) 434-9980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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