| Eagle Rock Family Dentistry | |
|
2525 Colorado Blvd #a Los Angeles CA 90041-1062 | |
| (323) 258-2885 | |
| (323) 258-8004 |
| Full Name | Eagle Rock Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2525 Colorado Blvd, Los Angeles, California |
| Authorized Official Name and Position | Rk Chetty (DENTIST) |
| Authorized Official Contact | 3232582885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Rock Family Dentistry 2525 Colorado Blvd #a Los Angeles CA 90041-1062 Ph: (323) 258-2885 | Eagle Rock Family Dentistry 2525 Colorado Blvd #a Los Angeles CA 90041-1062 Ph: (323) 258-2885 |
| NPI Number | 1932381266 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 11/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932381266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26360 (California) | Primary |
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