| Gentle Care Dental | |
|
3500 Whittier Blvd 101 Los Angeles CA 90023-1746 | |
| (323) 264-8834 | |
| (323) 264-0885 |
| Full Name | Gentle Care Dental |
|---|---|
| Speciality | Dentist |
| Location | 3500 Whittier Blvd, Los Angeles, California |
| Authorized Official Name and Position | Bertram Amiri (PRESIDENT) |
| Authorized Official Contact | 3232648834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Care Dental 3500 Whittier Blvd 101 Los Angeles CA 90023-1746 Ph: (323) 264-8834 | Gentle Care Dental 3500 Whittier Blvd 101 Los Angeles CA 90023-1746 Ph: (323) 264-8834 |
| NPI Number | 1972917052 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Medicare PECOS PAC ID | 1557600293 |
|---|---|
| Medicare Enrollment ID | O20190225002088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972917052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34586 (California) | Primary |
| Provider Name | Bertram B Amiri |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1063619062 PECOS PAC ID: 3375822182 Enrollment ID: I20190225002174 |
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