| Centinela Joseph Dental Group | |
|
6907 La Tijera Blvd Los Angeles CA 90045-1906 | |
| (310) 645-0336 | |
| (310) 645-9250 |
| Full Name | Centinela Joseph Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 6907 La Tijera Blvd, Los Angeles, California |
| Authorized Official Name and Position | Joesph Azizi (PRESIDENT/OWNER) |
| Authorized Official Contact | 3104669571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centinela Joseph Dental Group 2934 1/2 Beverly Glen Circle #451 451 Los Angeles CA 90077-1724 Ph: (310) 695-1589 | Centinela Joseph Dental Group 6907 La Tijera Blvd Los Angeles CA 90045-1906 Ph: (310) 645-0336 |
| NPI Number | 1851992481 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851992481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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