| Bardi-nugent-suh Dental Corporation | |
|
4338 Sepulveda Blvd Culver City CA 90230-4723 | |
| (310) 439-1006 | |
| Not Available |
| Full Name | Bardi-nugent-suh Dental Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4338 Sepulveda Blvd, Culver City, California |
| Authorized Official Name and Position | Mark Nugent (SECRETARY) |
| Authorized Official Contact | 9175329493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bardi-nugent-suh Dental Corporation 4338 Sepulveda Blvd Culver City CA 90230-4723 Ph: (310) 439-1006 | Bardi-nugent-suh Dental Corporation 4338 Sepulveda Blvd Culver City CA 90230-4723 Ph: (310) 439-1006 |
| NPI Number | 1962234088 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962234088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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