| Canam Dental | |
|
520 E Manchester Ave Los Angeles CA 90003-3525 | |
| (323) 521-5444 | |
| Not Available |
| Full Name | Canam Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 520 E Manchester Ave, Los Angeles, 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 |
|---|---|
| Canam Dental 350 N Clark St Ste 600 Chicago IL 60654-4782 Ph: (312) 274-4526 | Canam Dental 520 E Manchester Ave Los Angeles CA 90003-3525 Ph: (323) 521-5444 |
| NPI Number | 1790349751 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790349751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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