Greenvalley Oral Care | |
3516 Martin Luther King Blvd. Suite 7 Lynwood CA 90262 | |
(310) 639-7224 | |
(310) 639-3939 |
Full Name | Greenvalley Oral Care |
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Speciality | Dentist |
Location | 3516 Martin Luther King Blvd. Suite 7, Lynwood, California |
Authorized Official Name and Position | Rafael A Antillon (DENTIST) |
Authorized Official Contact | 3106397224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greenvalley Oral Care 3516 Martin Luther King Blvd. Suite 7 Lynwood CA 90262 Ph: (310) 639-7224 | Greenvalley Oral Care 3516 Martin Luther King Blvd. Suite 7 Lynwood CA 90262 Ph: (310) 639-7224 |
NPI Number | 1831458637 |
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Provider Enumeration Date | 05/14/2012 |
Last Update Date | 05/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831458637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 39747 (California) | Primary |
H.r.imankhan,dds,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11395 Atlantic Ave, Lynwood, CA 90262 Phone: 310-639-0884 Fax: 310-639-0013 | |
Steve Kim D.d.s. Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11395 Atlantic Ave, Lynwood, CA 90262 Phone: 909-282-7776 |