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4138 Maine Ave Ste M2 Baldwin Park CA 91706-3302 | |
(323) 564-2444 | |
(323) 923-1088 |
Full Name | |
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Speciality | Dentist |
Location | 4138 Maine Ave Ste M2, Baldwin Park, California |
Authorized Official Name and Position | Jerry David Minsky (PRESIDENT) |
Authorized Official Contact | 3235642444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4444 Tweedy Blvd South Gate CA 90280-6304 Ph: (323) 564-2444 | 4138 Maine Ave Ste M2 Baldwin Park CA 91706-3302 Ph: (323) 564-2444 |
NPI Number | 1336542851 |
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Provider Enumeration Date | 09/29/2014 |
Last Update Date | 11/25/2015 |
Identifier | Type | State | Issuer |
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1336542851 | NPI | - | NPPES |
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