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16128 Hawthorne Blvd Lawndale CA 90260-2931 | |
(310) 370-4511 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 16128 Hawthorne Blvd, Lawndale, California |
Authorized Official Name and Position | Edmundo Perfecto (OWNER) |
Authorized Official Contact | 3103704511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16128 Hawthorne Blvd Lawndale CA 90260-2931 Ph: (310) 370-4511 | 16128 Hawthorne Blvd Lawndale CA 90260-2931 Ph: (310) 370-4511 |
NPI Number | 1326102369 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1326102369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 37893 (California) | Primary |
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