Airport Center Family Dental Office | |
5304 W Century Blvd Los Angeles CA 90045-5910 | |
(310) 215-1455 | |
(310) 215-1460 |
Full Name | Airport Center Family Dental Office |
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Speciality | Dentist - General Practice |
Location | 5304 W Century Blvd, Los Angeles, California |
Authorized Official Name and Position | Dana Mitchell (BUSINESS MANAGER) |
Authorized Official Contact | 3102151455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Airport Center Family Dental Office 5304 W Century Blvd Los Angeles CA 90045-5910 Ph: (310) 215-1455 | Airport Center Family Dental Office 5304 W Century Blvd Los Angeles CA 90045-5910 Ph: (310) 215-1455 |
NPI Number | 1700065950 |
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Provider Enumeration Date | 10/24/2007 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
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1700065950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 38223 (California) | Primary |
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