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CHARLES FRIMPONG KWAKYE RDH

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1861833113

Individual Registrant:
 CHARLES FRIMPONG KWAKYE RDH
Gender: M
Sole Proprietor

Location and contact information for practice:
12121 WILSHIRE BLVD. SUITE1111 WEST COAST DENTAL SERVICES LOS ANGELES,, CA 90025 US
Tel: 310-409-4265  Fax: --

Contact information for business:
4218 RANWICK CT  SAN JOSE, CA 95118-2042 US
Tel: 408-267-4970  Fax: --

Registration Information:
NPI: 1861833113
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CA19264

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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