| Ag Dental Partnership | |
|
13450 Hawthorne Blvd Hawthorne CA 90250-5806 | |
| (424) 383-5005 | |
| Not Available |
| Full Name | Ag Dental Partnership |
|---|---|
| Speciality | Dentist |
| Location | 13450 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Arya Sean Goel (CO- PRESIDENT) |
| Authorized Official Contact | 8188762103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ag Dental Partnership 10787 Wilshire Blvd Apt 503 Los Angeles CA 90024-4417 Ph: (818) 876-2103 | Ag Dental Partnership 13450 Hawthorne Blvd Hawthorne CA 90250-5806 Ph: (424) 383-5005 |
| NPI Number | 1447062633 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447062633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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