| Farwest Dental Group | |
|
1704 N Avalon Blvd Wilmington CA 90744-1433 | |
| (310) 835-5130 | |
| (310) 835-6090 |
| Full Name | Farwest Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1704 N Avalon Blvd, Wilmington, California |
| Authorized Official Name and Position | Hassan Fayoumi (ONWER) |
| Authorized Official Contact | 3106991549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farwest Dental Group 1704 N Avalon Blvd Wilmington CA 90744-1433 Ph: (310) 835-5130 | Farwest Dental Group 1704 N Avalon Blvd Wilmington CA 90744-1433 Ph: (310) 835-5130 |
| NPI Number | 1699200220 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 04/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699200220 | NPI | - | NPPES |
| G8983901 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52604 (California) | Primary |
Farwest Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-835-5030 Fax: 310-835-6090 | |
Benjamin Bao Le Dmd, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-835-0251 Fax: 310-835-1690 | |
Wilmington Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-835-3131 | |
Farjam Shadaiee Yashmerani, Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 E Anaheim St Ste M, Wilmington, CA 90744 Phone: 310-835-3535 Fax: 310-835-3030 | |
Iraj Nouri Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1239 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-518-2697 Fax: 310-518-6864 | |
Kanwal J.s. Virk Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Anaheim St, Wilmington, CA 90744 Phone: 310-233-7777 | |
Caspar L. Sung Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 W Pacific Coast Hwy, Wilmington, CA 90744 Phone: 310-518-3522 |