Highland Dental Group | |
830 W Avenue L Ste 129 Lancaster CA 93534-7210 | |
(661) 418-0066 | |
(661) 418-0266 |
Full Name | Highland Dental Group |
---|---|
Speciality | Dentist |
Location | 830 W Avenue L Ste 129, Lancaster, California |
Authorized Official Name and Position | Sharona Kohanoff (DENTIST) |
Authorized Official Contact | 8183553898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Highland Dental Group 830 W Avenue L Ste 129 Lancaster CA 93534-7210 Ph: (661) 418-0266 | Highland Dental Group 830 W Avenue L Ste 129 Lancaster CA 93534-7210 Ph: (661) 418-0066 |
NPI Number | 1295359370 |
---|---|
Provider Enumeration Date | 06/03/2020 |
Last Update Date | 08/12/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295359370 | NPI | - | NPPES |
1285751057 | Medicaid | CA | |
1336461789 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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