| Comfort Dental Group | |
|
249 E Beverly Blvd Ste A Montebello CA 90640 | |
| (323) 726-7500 | |
| (323) 726-7503 |
| Full Name | Comfort Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 249 E Beverly Blvd Ste A, Montebello, California |
| Authorized Official Name and Position | Vahag Mehrabian (PRESIDENT) |
| Authorized Official Contact | 3237267500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Dental Group 249 E Beverly Blvd Ste A Montebello CA 90640-3799 Ph: (323) 726-7500 | Comfort Dental Group 249 E Beverly Blvd Ste A Montebello CA 90640 Ph: (323) 726-7500 |
| NPI Number | 1245718113 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 8921359399 |
|---|---|
| Medicare Enrollment ID | O20180924002744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245718113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51108 (California) | Primary |
| 261QD0000X | Clinic/center - Dental | 51108 (California) | Secondary |
| Provider Name | Vahag Mehrabian |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255487617 PECOS PAC ID: 0547524795 Enrollment ID: I20180803002859 |
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