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1025 W Avenue K Ste 105 Lancaster CA 93534-6429 | |
| (661) 723-1111 | |
| (661) 726-0587 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1025 W Avenue K Ste 105, Lancaster, California |
| Authorized Official Name and Position | Farid Pakravan (OWNER) |
| Authorized Official Contact | 3108209933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 820-9933 | 1025 W Avenue K Ste 105 Lancaster CA 93534-6429 Ph: (661) 723-1111 |
| NPI Number | 1922283936 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922283936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39862 (California) | Primary |
Romeo I. Stoll, Dds, Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 W Avenue J, Lancaster, CA 93534 Phone: 661-948-4674 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44407 Challenger Way, Lancaster, CA 93535 Phone: 661-341-3100 Fax: 661-942-2305 | |
Bilal Shammout Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 15th St W Ste 313, Lancaster, CA 93534 Phone: 661-948-2721 Fax: 661-948-4055 | |
Bradford Boyd, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 E Avenue J, Lancaster, CA 93535 Phone: 661-942-1179 |