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2915 E Florence Ave Huntington Park CA 90255-5825 | |
| (323) 589-3333 | |
| (323) 589-3344 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2915 E Florence Ave, Huntington Park, California |
| Authorized Official Name and Position | Kambiz Kalai (PRESIDENT) |
| Authorized Official Contact | 3235893333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2915 E Florence Ave Huntington Park CA 90255-5825 Ph: (323) 589-3333 | 2915 E Florence Ave Huntington Park CA 90255-5825 Ph: (323) 589-3333 |
| NPI Number | 1962574459 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962574459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41739 (California) | Primary |
| 122300000X | Dentist | 45969 (California) | Secondary |
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