Comfort Dental Group | |
10012 Garvey Ave Ste 11 El Monte CA 91733-2086 | |
(626) 433-1300 | |
Not Available |
Full Name | Comfort Dental Group |
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Speciality | Dentist |
Location | 10012 Garvey Ave Ste 11, El Monte, California |
Authorized Official Name and Position | Tigran Ovsepyan (PRESIDENT/DENTIST) |
Authorized Official Contact | 8185215334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Comfort Dental Group 10012 Garvey Ave Ste 11 El Monte CA 91733-2086 Ph: (626) 433-1300 | Comfort Dental Group 10012 Garvey Ave Ste 11 El Monte CA 91733-2086 Ph: (626) 433-1300 |
NPI Number | 1205359718 |
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Provider Enumeration Date | 07/18/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8325394935 |
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Medicare Enrollment ID | O20180711002402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205359718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 61421 (California) | Primary |
Provider Name | Tigran Ovsepyan |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1720342439 PECOS PAC ID: 0042569709 Enrollment ID: I20180814002862 |
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