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5129 Candlewood St Lakewood CA 90712-1921 | |
| (562) 867-0027 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5129 Candlewood St, Lakewood, California |
| Authorized Official Name and Position | Behnoud Reyhani (OWNER/DDS) |
| Authorized Official Contact | 5628670027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5129 Candlewood St Lakewood CA 90712-1921 Ph: (562) 867-0027 | 5129 Candlewood St Lakewood CA 90712-1921 Ph: (562) 867-0027 |
| NPI Number | 1568005114 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 07/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568005114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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