| |
4444 Tweedy Blvd South Gate CA 90280-6304 | |
(323) 564-2444 | |
(564) 249-7565 |
Full Name | |
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Speciality | Dentist |
Location | 4444 Tweedy Blvd, South Gate, California |
Authorized Official Name and Position | Jerry David Minsky (OWNER) |
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 | 4444 Tweedy Blvd South Gate CA 90280-6304 Ph: (323) 564-2444 |
NPI Number | 1366549545 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 09/23/2015 |
Identifier | Type | State | Issuer |
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1366549545 | NPI | - | NPPES |
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