| Di Alpan Professional Corporation | |
|
11633 Hawthorne Blvd #500 Hawthorne CA 90250-9025 | |
| (310) 644-4412 | |
| (310) 644-7355 |
| Full Name | Di Alpan Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11633 Hawthorne Blvd #500, Hawthorne, California |
| Authorized Official Name and Position | Rosa Salazar (ADMINISTRATOR) |
| Authorized Official Contact | 3106444412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Di Alpan Professional Corporation 11633 Hawthorne Blvd Ste 500 Hawthorne CA 90250-2326 Ph: (310) 644-4412 | Di Alpan Professional Corporation 11633 Hawthorne Blvd #500 Hawthorne CA 90250-9025 Ph: (310) 644-4412 |
| NPI Number | 1174037873 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 11/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174037873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 43750 (California) | Primary |
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