| 26th Street Dental | |
|
270 26th St Ste 301 Santa Monica CA 90402-2567 | |
| (561) 405-8270 | |
| Not Available |
| Full Name | 26th Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 270 26th St Ste 301, Santa Monica, California |
| Authorized Official Name and Position | Gordon Averill (PRESIDENT) |
| Authorized Official Contact | 5614058270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 26th Street Dental 270 26th St Ste 301 Santa Monica CA 90402-2567 Ph: (561) 405-8270 | 26th Street Dental 270 26th St Ste 301 Santa Monica CA 90402-2567 Ph: (561) 405-8270 |
| NPI Number | 1770078248 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 06/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770078248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DDS101899 (California) | Primary |
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