Lakewood Dental Arts | |
5555 Del Amo Blvd Lakewood CA 90713-2307 | |
(562) 866-1735 | |
(562) 866-8190 |
Full Name | Lakewood Dental Arts |
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Speciality | Dentist |
Location | 5555 Del Amo Blvd, Lakewood, California |
Authorized Official Name and Position | Robert K Goodis (OWNER) |
Authorized Official Contact | 5628661735 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakewood Dental Arts 5555 Del Amo Blvd Lakewood CA 90713-2307 Ph: (562) 866-1735 | Lakewood Dental Arts 5555 Del Amo Blvd Lakewood CA 90713-2307 Ph: (562) 866-1735 |
NPI Number | 1790999340 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 07/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790999340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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