| Culver Marina Dental Group | |
|
12756 W Washington Blvd Los Angeles CA 90066-2309 | |
| (310) 822-6066 | |
| (310) 574-8899 |
| Full Name | Culver Marina Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12756 W Washington Blvd, Los Angeles, California |
| Authorized Official Name and Position | Aaron H Sheily (PRESIDENT) |
| Authorized Official Contact | 3108226066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Culver Marina Dental Group 12756 W Washington Blvd Los Angeles CA 90066-2309 Ph: (310) 822-6066 | Culver Marina Dental Group 12756 W Washington Blvd Los Angeles CA 90066-2309 Ph: (310) 822-6066 |
| NPI Number | 1710357157 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710357157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36833 (California) | Primary |
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