Crescenta Family Dental | |
2644 Foothill Blvd La Crescenta CA 91214-3510 | |
(818) 248-9988 | |
(818) 248-0081 |
Full Name | Crescenta Family Dental |
---|---|
Speciality | Dentist |
Location | 2644 Foothill Blvd, La Crescenta, California |
Authorized Official Name and Position | Sean Sohail Hakimi (OWNER) |
Authorized Official Contact | 6612553130 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crescenta Family Dental P.o. Box 55368 Valencia CA 91385 Ph: (661) 255-3130 | Crescenta Family Dental 2644 Foothill Blvd La Crescenta CA 91214-3510 Ph: (818) 248-9988 |
NPI Number | 1801087176 |
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Provider Enumeration Date | 08/05/2007 |
Last Update Date | 08/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801087176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 39643 (California) | Primary |
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