| Aegd | |
|
10833 Le Conte Ave #33-039 Chs Los Angeles CA 90095-1668 | |
| (310) 825-6672 | |
| (310) 794-7964 |
| Full Name | Aegd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10833 Le Conte Ave, Los Angeles, California |
| Authorized Official Name and Position | Jeffrey Michael Goldstein (CLINIC DIRECTOR) |
| Authorized Official Contact | 3107945565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegd 10833 Le Conte Ave #33-039 Chs Los Angeles CA 90095-1668 Ph: (310) 825-6672 | Aegd 10833 Le Conte Ave #33-039 Chs Los Angeles CA 90095-1668 Ph: (310) 825-6672 |
| NPI Number | 1982738639 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982738639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D46182 (California) | Primary |
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