United Dental Northridge Corp

NPI #1891069266 in Northridge, California

Provider Information

NPI Number: 1891069266
Entity Type: Organization
Organization Name: United Dental Northridge Corp
Primary Specialty: Dentist
Enumeration Date: Mar 2, 2012
Last Updated: Mar 2, 2012

Practice Location

Address: 10149 RESEDA BLVD
City: Northridge
State: California
ZIP Code: 91324-1454
Phone: (714) 525-6900

Authorized Official

Name: JEONG HOON KIM
Title: CEO, CFO, & SECRETARY
Phone: (714) 525-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X
Dentist	122300000X	Primary

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