| Joseph L. Mcquirter, D.d.s., Inc | |
|
5903 Sepulveda Blvd # B Culver City CA 90230-6409 | |
| (310) 701-1963 | |
| (310) 645-1665 |
| Full Name | Joseph L. Mcquirter, D.d.s., Inc |
|---|---|
| Speciality | Dentist |
| Location | 5903 Sepulveda Blvd, Culver City, California |
| Authorized Official Name and Position | Joseph Lindon Mcquirter (PRESIDENT) |
| Authorized Official Contact | 3107011963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph L. Mcquirter, D.d.s., Inc 6709 La Tijera Blvd # 157 Los Angeles CA 90045-2017 Ph: (310) 701-1963 | Joseph L. Mcquirter, D.d.s., Inc 5903 Sepulveda Blvd # B Culver City CA 90230-6409 Ph: (310) 701-1963 |
| NPI Number | 1851649123 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 08/17/2012 |
| Medicare PECOS PAC ID | 3678845898 |
|---|---|
| Medicare Enrollment ID | O20170823003012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851649123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Joseph L Mcquirter |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619084985 PECOS PAC ID: 3274591011 Enrollment ID: I20170823003127 |
| Provider Name | Dorothea Berry |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851451108 PECOS PAC ID: 1658670906 Enrollment ID: I20170914003336 |
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