Revadee Tan Veranunt DDS
Revadee Tan Veranunt DDS provides Dental Clinic/Center services in Los Angeles, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
5065 Hollywood Blvd Ste 205Los Angeles, CA 90027-6122
Phone: (323) 666-9881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1528811049 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Revadee Veranunt — Owner Dentist · (323) 666-9881 |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 6, 2024 |
| Mailing address | 5065 Hollywood Blvd Ste 205, Los Angeles, CA 90027-6122 |
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