| Av Sierra Dental Center | |
|
38427 20th St E Palmdale CA 93550-4034 | |
| (661) 273-3600 | |
| (661) 273-3760 |
| Full Name | Av Sierra Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 38427 20th St E, Palmdale, California |
| Authorized Official Name and Position | Jason Jaesong Oh (OWNER) |
| Authorized Official Contact | 6612733600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Av Sierra Dental Center 38427 20th St E Palmdale CA 93550-4034 Ph: (661) 273-3600 | Av Sierra Dental Center 38427 20th St E Palmdale CA 93550-4034 Ph: (661) 273-3600 |
| NPI Number | 1427245091 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 09/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427245091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 53091 (California) | Primary |
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