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9918 Atlantic Ave South Gate CA 90280-6449 | |
(323) 567-1227 | |
(323) 567-2181 |
Full Name | |
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Speciality | Dentist |
Location | 9918 Atlantic Ave, South Gate, California |
Authorized Official Name and Position | Shorouq Sahawneh (OWNER DENTIST) |
Authorized Official Contact | 7145786358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Spectrum Center Dr 100 Irvine CA 92618-4962 Ph: (714) 578-6358 | 9918 Atlantic Ave South Gate CA 90280-6449 Ph: (323) 567-1227 |
NPI Number | 1154705069 |
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Provider Enumeration Date | 07/10/2015 |
Last Update Date | 07/10/2015 |
Identifier | Type | State | Issuer |
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1154705069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 55643 (California) | Primary |
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