Full Name | |
---|---|
Speciality | Dentist |
Location | 8998 Apollo Way, Downey, California |
Authorized Official Name and Position | Ariella H Pessah (OWNER) |
Authorized Official Contact | 5624417212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
17000 Red Hill Avenue Irvine CA 92614 Ph: (714) 845-8890 | 8998 Apollo Way Downey CA 90242 Ph: (562) 441-7212 |
NPI Number | 1992174379 |
---|---|
Provider Enumeration Date | 09/16/2015 |
Last Update Date | 09/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992174379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
J. Whitley Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12156 Lakewood Blvd, Downey, CA 90242 Phone: 562-803-1600 | |
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Sadeghein Pro Endo Dental Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8077 Florence Ave Ste 101, Downey, CA 90240 Phone: 562-381-2442 Fax: 888-977-3635 | |