| Columbia Dental Specialty Group | |
|
1807 Wilshire Blvd Ste A Santa Monica CA 90403-5652 | |
| (310) 264-1711 | |
| (310) 453-6486 |
| Full Name | Columbia Dental Specialty Group |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1807 Wilshire Blvd, Santa Monica, California |
| Authorized Official Name and Position | Jennifer Chang (PRESIDENT/OWNER) |
| Authorized Official Contact | 3102641711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Dental Specialty Group 1807 Wilshire Blvd Ste A Santa Monica CA 90403-5652 Ph: (310) 264-1711 | Columbia Dental Specialty Group 1807 Wilshire Blvd Ste A Santa Monica CA 90403-5652 Ph: (310) 264-1711 |
| NPI Number | 1851790661 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851790661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 59653 (California) | Secondary |
| 1223P0300X | Dentist - Periodontics | 53057 (California) | Primary |
E. Benji Behroozan Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2221 Lincoln Blvd # 200, Santa Monica, CA 90405 Phone: 310-399-1100 Fax: 310-664-8901 | |
John G. Adomian, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Montana Ave, Santa Monica, CA 90403 Phone: 310-458-1545 Fax: 310-458-1546 | |
Bobak Morshed Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1244 7th St Ste 202, Santa Monica, CA 90401 Phone: 310-393-9664 | |
Joel Gould, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 Wilshire Blvd Ste 206, Santa Monica, CA 90403 Phone: 310-828-6684 | |
Simms/mann Health & Wellness Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2509 Pico Blvd, Santa Monica, CA 90405 Phone: 310-664-7935 Fax: 310-664-7913 | |
Mike Pirbazari, Dds, Phd. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Wilshire Blvd.,, Suite A, Santa Monica, CA 90403 Phone: 310-264-1711 Fax: 310-453-6486 | |
Melinda Wheeler Pruitt Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 16th St Ste 209, Santa Monica, CA 90404 Phone: 310-453-1223 Fax: 310-453-8757 |