| Goldenstatedentalgroup | |
|
1601 N Long Beach Blvd Compton CA 90221-1610 | |
| (310) 639-5000 | |
| (310) 763-4993 |
| Full Name | Goldenstatedentalgroup |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1601 N Long Beach Blvd, Compton, California |
| Authorized Official Name and Position | Nagaraja P Murthy (OWNER) |
| Authorized Official Contact | 3106395000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldenstatedentalgroup 1601 N Long Beach Blvd Compton CA 90221-1610 Ph: (310) 639-5000 | Goldenstatedentalgroup 1601 N Long Beach Blvd Compton CA 90221-1610 Ph: (310) 639-5000 |
| NPI Number | 1043418635 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043418635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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