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821 W Rosecrans Ave., Pad A Compton CA 90222-3821 | |
| (310) 604-4000 | |
| (312) 268-5219 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 821 W Rosecrans Ave., Pad A, Compton, California |
| Authorized Official Name and Position | Ericka Soto (LEAD PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3122744581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
350 N Clark St Ste 600 Chicago IL 60654-4782 Ph: (312) 274-4526 | 821 W Rosecrans Ave., Pad A Compton CA 90222-3821 Ph: (310) 604-4000 |
| NPI Number | 1205390788 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205390788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Korouri Sage Bina Professional Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 S Long Beach Blvd, Compton, CA 90221 Phone: 310-876-2534 | |
Linda C. Onyeador, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Compton Blvd, Suite #103, Compton, CA 90220 Phone: 310-762-9292 Fax: 310-762-6680 |