| Dominguez Hills Dental Group | |
|
20930 Bonita St Suite T Carson CA 90746-3680 | |
| (310) 515-1490 | |
| (310) 515-0032 |
| Full Name | Dominguez Hills Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20930 Bonita St, Carson, California |
| Authorized Official Name and Position | Anthony Duncan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3105151490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominguez Hills Dental Group 20930 Bonita St Suite T Carson CA 90746-3680 Ph: (310) 515-1490 | Dominguez Hills Dental Group 20930 Bonita St Suite T Carson CA 90746-3680 Ph: (310) 515-1490 |
| NPI Number | 1154722254 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 09/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154722254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34086 (California) | Primary |
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