Dental Care On Premises | |
6035 Bristol Pkwy Suite 200 Culver City CA 90230-6601 | |
(800) 373-5400 | |
(888) 492-2900 |
Full Name | Dental Care On Premises |
---|---|
Speciality | Dentist |
Location | 6035 Bristol Pkwy, Culver City, California |
Authorized Official Name and Position | Alex Gladkov (PRESIDENT AND CEO) |
Authorized Official Contact | 8003735400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Care On Premises 6035 Bristol Pkwy Suite 200 Culver City CA 90230-6601 Ph: (800) 373-5400 | Dental Care On Premises 6035 Bristol Pkwy Suite 200 Culver City CA 90230-6601 Ph: (800) 373-5400 |
NPI Number | 1902921554 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902921554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 40822 (California) | Primary |
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