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16910 Hawthorne Blvd Lawndale CA 90260-3215 | |
(310) 542-4333 | |
(310) 370-6779 |
Full Name | |
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Speciality | Dentist |
Location | 16910 Hawthorne Blvd, Lawndale, California |
Authorized Official Name and Position | Sunen G Pandya (OWNER) |
Authorized Official Contact | 3105424333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16910 Hawthorne Blvd Lawndale CA 90260-3215 Ph: (310) 542-4333 | 16910 Hawthorne Blvd Lawndale CA 90260-3215 Ph: (310) 542-4333 |
NPI Number | 1265671176 |
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Provider Enumeration Date | 02/17/2009 |
Last Update Date | 10/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265671176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 50805 (California) | Primary |
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