| Hawthorne Dental | |
|
13935 Hawthorne Blvd Hawthorne CA 90250-7001 | |
| (310) 973-6428 | |
| Not Available |
| Full Name | Hawthorne Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13935 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Timothy D Verny (PRESIDENT) |
| Authorized Official Contact | 3109736428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorne Dental 13935 Hawthorne Blvd Hawthorne CA 90250-7001 Ph: (310) 973-6428 | Hawthorne Dental 13935 Hawthorne Blvd Hawthorne CA 90250-7001 Ph: (310) 973-6428 |
| NPI Number | 1417208067 |
|---|---|
| Provider Enumeration Date | 09/23/2012 |
| Last Update Date | 09/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417208067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48778 (California) | Primary |
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