Most Relevant Information
Provider Data
NPI Number: | 1003307976 |
Provider Name: | IRENE L CHING DDS |
Entity Type: | Individual |
Taxonomy Code: | 1223P0221X |
Specialty: | Dentist |
License Number: | 104556 |
Most Important Dates
Enumeration Date: | 05/25/2018 |
Last Updated: | 06/30/2020 |
Provider Practice Location
925 W 34TH ST
LOS ANGELES
CA
90089
Practice Location Phone/Fax
Phone: | 4154258202 |
Fax: |
Provider Mailing Location
925 W 34TH ST
LOS ANGELES
CA
900890058
Provider Mailing Phone/Fax
Phone: | |
Fax: |