| Redondo Beach Dental Arts | |
|
2731 Manhattan Beach Blvd Redondo Beach CA 90278-1602 | |
| (310) 683-5322 | |
| Not Available |
| Full Name | Redondo Beach Dental Arts |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2731 Manhattan Beach Blvd, Redondo Beach, California |
| Authorized Official Name and Position | Faheem Ahmed Qazi (OWNER) |
| Authorized Official Contact | 3106133153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redondo Beach Dental Arts 4456 Via Pinzon Palos Verdes Estates CA 90274-1558 Ph: () - | Redondo Beach Dental Arts 2731 Manhattan Beach Blvd Redondo Beach CA 90278-1602 Ph: (310) 683-5322 |
| NPI Number | 1396466801 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 12/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396466801 | NPI | - | NPPES |
| 50165 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| 1336359405 | Other | NPI | |
| 55694 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| 100698 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| 1407300130 | Other | NPI | |
| 1497462220 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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