| La Dental Care | |
|
12820 Inglewood Ave Hawthorne CA 90250-5118 | |
| (310) 349-1980 | |
| (310) 349-1984 |
| Full Name | La Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12820 Inglewood Ave, Hawthorne, California |
| Authorized Official Name and Position | Shirin A. Rowhani (DENTIST/ OWNER) |
| Authorized Official Contact | 3103491980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Dental Care 12820 Inglewood Ave Hawthorne CA 90250-5118 Ph: (310) 349-1980 | La Dental Care 12820 Inglewood Ave Hawthorne CA 90250-5118 Ph: (310) 349-1980 |
| NPI Number | 1356743363 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356743363 | NPI | - | NPPES |
| B43490 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 43490 (California) | Primary |
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