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4433 Tweedy Blvd South Gate CA 90280-6303 | |
(323) 567-1227 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4433 Tweedy Blvd, South Gate, California |
Authorized Official Name and Position | Dennis R Fratt (OWNER) |
Authorized Official Contact | 7144281200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4433 Tweedy Blvd South Gate CA 90280-6303 Ph: (323) 567-1227 | 4433 Tweedy Blvd South Gate CA 90280-6303 Ph: (323) 567-1227 |
NPI Number | 1417164237 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1417164237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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