George Bochorishvili Dental Corp | |
3231 Pico Blvd Santa Monica CA 90405-2113 | |
(310) 828-7429 | |
Not Available |
Full Name | George Bochorishvili Dental Corp |
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Speciality | Dentist |
Location | 3231 Pico Blvd, Santa Monica, California |
Authorized Official Name and Position | George Bochorishvili (OWNER) |
Authorized Official Contact | 3108287429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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George Bochorishvili Dental Corp 3231 Pico Blvd Santa Monica CA 90405-2113 Ph: (310) 828-7429 | George Bochorishvili Dental Corp 3231 Pico Blvd Santa Monica CA 90405-2113 Ph: (310) 828-7429 |
NPI Number | 1730703125 |
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Provider Enumeration Date | 06/02/2020 |
Last Update Date | 06/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730703125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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