| J. Siderman Dds A Professional Dental Corporation | |
|
9202 Alondra Blvd Bellflower CA 90706-4210 | |
| (562) 246-9989 | |
| (562) 263-9667 |
| Full Name | J. Siderman Dds A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9202 Alondra Blvd, Bellflower, California |
| Authorized Official Name and Position | Jerry Siderman (OWNER) |
| Authorized Official Contact | 5622469989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Siderman Dds A Professional Dental Corporation 9202 Alondra Blvd Bellflower CA 90706-4210 Ph: (562) 246-9989 | J. Siderman Dds A Professional Dental Corporation 9202 Alondra Blvd Bellflower CA 90706-4210 Ph: (562) 246-9989 |
| NPI Number | 1730667601 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730667601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 41789 (California) | Primary |
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