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4332 Slauson Ave Maywood CA 90270-2848 | |
(310) 529-7292 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 4332 Slauson Ave, Maywood, California |
Authorized Official Name and Position | Ryan Edalatpajouh (PRESIDENT) |
Authorized Official Contact | 3105297292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4332 Slauson Ave Maywood CA 90270-2848 Ph: (323) 771-7777 | 4332 Slauson Ave Maywood CA 90270-2848 Ph: (310) 529-7292 |
NPI Number | 1669068201 |
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Provider Enumeration Date | 12/17/2020 |
Last Update Date | 03/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669068201 | NPI | - | NPPES |
1225551351 | Medicaid | CA | |
1225551351 | Other | CA | FARAZ EDALATPAJOUH |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4487 Slauson Ave, Maywood, CA 90270 Phone: 323-773-9961 Fax: 323-773-6235 |