| |
4437 Redondo Beach Blvd Lawndale CA 90260-3465 | |
(310) 370-7500 | |
(310) 370-7570 |
Full Name | |
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Speciality | Dentist |
Location | 4437 Redondo Beach Blvd, Lawndale, California |
Authorized Official Name and Position | Soheil Soleimani (OWNER) |
Authorized Official Contact | 3103380444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4411 Redondo Beach Blvd Lawndale CA 90260-3465 Ph: (310) 370-7500 | 4437 Redondo Beach Blvd Lawndale CA 90260-3465 Ph: (310) 370-7500 |
NPI Number | 1225231640 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 02/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225231640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 37922 (California) | Primary |
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