| Good Neighbor Dental | |
|
13637 Hawthorne Blvd Suite 101 Hawthorne CA 90250-5812 | |
| (310) 644-0437 | |
| (310) 644-0937 |
| Full Name | Good Neighbor Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13637 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Janeth Lucia Chaux (DENTIST/OWNER) |
| Authorized Official Contact | 3106440437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Neighbor Dental 13637 Hawthorne Blvd Suite 101 Hawthorne CA 90250-5812 Ph: (310) 644-0437 | Good Neighbor Dental 13637 Hawthorne Blvd Suite 101 Hawthorne CA 90250-5812 Ph: (310) 644-0437 |
| NPI Number | 1427590595 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427590595 | NPI | - | NPPES |
| 1124239595 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50577 (California) | Primary |
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