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6716 Greenleaf Ave Whittier CA 90601-4109 | |
| (562) 693-8790 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6716 Greenleaf Ave, Whittier, California |
| Authorized Official Name and Position | Babak Aaron Pezeshk (PRESIDENT) |
| Authorized Official Contact | 5626938790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6716 Greenleaf Ave Whittier CA 90601-4109 Ph: () - | 6716 Greenleaf Ave Whittier CA 90601-4109 Ph: (562) 693-8790 |
| NPI Number | 1205399789 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 05/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205399789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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