|
| |
|
15655 Hawthorne Blvd Suite A-b Lawndale CA 90260-2665 | |
| (424) 297-0513 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15655 Hawthorne Blvd, Lawndale, California |
| Authorized Official Name and Position | Ruben Hurtado (PRESIDENT) |
| Authorized Official Contact | 7863127099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15517 Cerise Ave Gardena CA 90249-4417 Ph: (786) 312-7099 | 15655 Hawthorne Blvd Suite A-b Lawndale CA 90260-2665 Ph: (424) 297-0513 |
| NPI Number | 1902229669 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 01/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902229669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59291 (California) | Primary |
Tabibi Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16002 Hawthorne Blvd, Lawndale, CA 90260 Phone: 310-895-0133 Fax: 310-472-1427 | |
Steven J Sutherland Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14610 Hawthorne Blvd, Lawndale, CA 90260 Phone: 310-676-4746 | |
Hagop Jack Takarlekian D.d.s Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16817 Prairie Ave, Lawndale, CA 90260 Phone: 310-370-5681 Fax: 310-542-0790 | |
Jourabchi Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16502 Hawthorne Blvd, Lawndale, CA 90260 Phone: 818-825-1618 |