| Imperial Dental Center Corp. | |
|
11254 Crenshaw Blvd Inglewood CA 90303-2805 | |
| (323) 756-1463 | |
| Not Available |
| Full Name | Imperial Dental Center Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11254 Crenshaw Blvd, Inglewood, California |
| Authorized Official Name and Position | Maria Ramos (OFFICE MANAGER) |
| Authorized Official Contact | 3237561463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Dental Center Corp. 11254 Crenshaw Blvd Inglewood CA 90303-2805 Ph: (323) 756-1463 | Imperial Dental Center Corp. 11254 Crenshaw Blvd Inglewood CA 90303-2805 Ph: (323) 756-1463 |
| NPI Number | 1174744544 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174744544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 34335 (California) | Primary |
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