Gardina Dental Center | |
15201 S. Western Ave. Gardina CA 90249 | |
(310) 532-7323 | |
(310) 532-7774 |
Full Name | Gardina Dental Center |
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Speciality | Dentist |
Location | 15201 S. Western Ave., Gardina, California |
Authorized Official Name and Position | Seyoung Kim (DENTIST OWNER) |
Authorized Official Contact | 3105327323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gardina Dental Center 15201 S. Western Ave. Gardina CA 90249 Ph: (310) 532-7323 | Gardina Dental Center 15201 S. Western Ave. Gardina CA 90249 Ph: (310) 532-7323 |
NPI Number | 1215050919 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 11/24/2014 |
Identifier | Type | State | Issuer |
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1215050919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 28586 (California) | Primary |