Lakewood Family Dentistry | |
11455 Carson St Ste E Lakewood CA 90715-2581 | |
(562) 860-7116 | |
(562) 860-7115 |
Full Name | Lakewood Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 11455 Carson St Ste E, Lakewood, California |
Authorized Official Name and Position | Jiten M Vasa (OWNER DENTIST) |
Authorized Official Contact | 5628607116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lakewood Family Dentistry 11455 Carson St Ste E Lakewood CA 90715-2581 Ph: (562) 860-7116 | Lakewood Family Dentistry 11455 Carson St Ste E Lakewood CA 90715-2581 Ph: (562) 860-7116 |
NPI Number | 1114137338 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 06/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114137338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30025 (California) | Primary |
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