M Ahmadi Dental Corp | |
4203 Gage Ave Bell CA 90201-1212 | |
(323) 312-0500 | |
Not Available |
Full Name | M Ahmadi Dental Corp |
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Speciality | Clinic/Center |
Location | 4203 Gage Ave, Bell, California |
Authorized Official Name and Position | Mohammad Ahmadi (PRESIDENT) |
Authorized Official Contact | 3106541098 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M Ahmadi Dental Corp 4203 Gage Ave Bell CA 90201-1212 Ph: (323) 312-0500 | M Ahmadi Dental Corp 4203 Gage Ave Bell CA 90201-1212 Ph: (323) 312-0500 |
NPI Number | 1205005998 |
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Provider Enumeration Date | 02/27/2008 |
Last Update Date | 02/27/2008 |
Medicare PECOS PAC ID | 2567785926 |
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Medicare Enrollment ID | O20141216002302 |
Identifier | Type | State | Issuer |
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1205005998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D54399 (California) | Primary |
Provider Name | Mohammad Ahmadi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1629257795 PECOS PAC ID: 3375866734 Enrollment ID: I20141216002346 |
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