|
| |
|
5819 Adenmoor Ave Lakewood CA 90713-1067 | |
| (562) 804-2296 | |
| (562) 804-1686 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5819 Adenmoor Ave, Lakewood, California |
| Authorized Official Name and Position | Vahe Antanesian (OWNER/ CEO) |
| Authorized Official Contact | 5628042296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5819 Adenmoor Ave Lakewood CA 90713-1067 Ph: (562) 804-2296 | 5819 Adenmoor Ave Lakewood CA 90713-1067 Ph: (562) 804-2296 |
| NPI Number | 1164979944 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164979944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46236 (California) | Primary |
Ismile Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-531-7788 | |
Kenny Young Kim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20147 Pioneer Blvd, Lakewood, CA 90715 Phone: 562-924-0558 | |
Abaro Dds Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4346 South St, Lakewood, CA 90712 Phone: 562-408-3500 Fax: 562-408-3736 | |