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14101 Paramount Blvd Paramount CA 90723-2607 | |
| (562) 529-8526 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14101 Paramount Blvd, Paramount, California |
| Authorized Official Name and Position | Leena Jacob (PRESIDENT) |
| Authorized Official Contact | 5625298526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14101 Paramount Blvd Paramount CA 90723-2607 Ph: (562) 529-8526 | 14101 Paramount Blvd Paramount CA 90723-2607 Ph: (562) 529-8526 |
| NPI Number | 1992878482 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992878482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | G89849-02 (California) | Primary |
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