Jw Jacob Chae Dmd INC
NPI #1780412890 in La Mirada, California
Provider Information
- NPI Number
- 1780412890
- Entity Type
- Organization
- Organization Name
- Jw Jacob Chae Dmd INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 22, 2024
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 15862 IMPERIAL HWY
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-2512
- Phone
- (213) 705-3811
Authorized Official
- Name
- JACOB CHAE
- Title
- CEO/DENTIST
- Phone
- (213) 705-3811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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