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1403 W. Lomita Blvd. Suite 306 Harbor City CA 90710 | |
| (310) 530-1175 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1403 W. Lomita Blvd. Suite 306, Harbor City, California |
| Authorized Official Name and Position | Diana Simbol (VICE PRESIDENT) |
| Authorized Official Contact | 3105301175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1403 W. Lomita Blvd. Suite 306 Harbor City CA 90710 Ph: () - | 1403 W. Lomita Blvd. Suite 306 Harbor City CA 90710 Ph: (310) 530-1175 |
| NPI Number | 1710195243 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710195243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46969 (California) | Primary |
Grant Shandler, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Pacific Coast Hwy Ste 21, Harbor City, CA 90710 Phone: 323-688-6965 | |
Walter Jefferson Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 962 Sepulveda Blvd, Harbor City, CA 90710 Phone: 310-539-3245 | |
Aldwin D Lumanlan Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26640 Western Ave Ste I, Harbor City, CA 90710 Phone: 408-307-3669 | |