Farzad Mazloomi Dmd Inc. | |
8330 Long Beach Blvd Ste 107 South Gate CA 90280-2073 | |
(323) 582-5411 | |
(323) 582-5568 |
Full Name | Farzad Mazloomi Dmd Inc. |
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Speciality | Dentist - General Practice |
Location | 8330 Long Beach Blvd Ste 107, South Gate, California |
Authorized Official Name and Position | Farzad Mazloomi (OWNER) |
Authorized Official Contact | 5592508861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Farzad Mazloomi Dmd Inc. 8330 Long Beach Blvd Ste 107 South Gate CA 90280-2073 Ph: (323) 582-5411 | Farzad Mazloomi Dmd Inc. 8330 Long Beach Blvd Ste 107 South Gate CA 90280-2073 Ph: (323) 582-5411 |
NPI Number | 1174169734 |
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Provider Enumeration Date | 11/19/2019 |
Last Update Date | 06/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174169734 | NPI | - | NPPES |
102653 | Other | CA | DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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