| Jelani E. Winslow Dmd Inc | |
|
1900 W Whittier Blvd Montebello CA 90640-4009 | |
| (323) 721-7153 | |
| Not Available |
| Full Name | Jelani E. Winslow Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1900 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | Jelani E Winslow (TIN OWNER) |
| Authorized Official Contact | 3104918877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jelani E. Winslow Dmd Inc 1900 W Whittier Blvd Montebello CA 90640-4009 Ph: (323) 721-7153 | Jelani E. Winslow Dmd Inc 1900 W Whittier Blvd Montebello CA 90640-4009 Ph: (323) 721-7153 |
| NPI Number | 1265089940 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265089940 | NPI | - | NPPES |
| 56557 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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