| Crenshaw Dental Group | |
|
3756 Santa Rosalia Dr Suite 517 Los Angeles CA 90008-3606 | |
| (323) 290-2212 | |
| (323) 290-1061 |
| Full Name | Crenshaw Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3756 Santa Rosalia Dr, Los Angeles, California |
| Authorized Official Name and Position | Moeiz Koshki (DENTIST) |
| Authorized Official Contact | 3232902212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crenshaw Dental Group 3756 Santa Rosalia Dr Suite 517 Los Angeles CA 90008-3606 Ph: (323) 290-2212 | Crenshaw Dental Group 3756 Santa Rosalia Dr Suite 517 Los Angeles CA 90008-3606 Ph: (323) 290-2212 |
| NPI Number | 1083735278 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083735278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44505 (California) | Primary |
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