| M. Seraji, Dds, A Professional Corporation | |
|
523 W 6th St Ste 202 Los Angeles CA 90014-1228 | |
| (213) 627-5895 | |
| Not Available |
| Full Name | M. Seraji, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 523 W 6th St Ste 202, Los Angeles, California |
| Authorized Official Name and Position | Mehrzad Seraji (OWNER PRESIDENT) |
| Authorized Official Contact | 2136275895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Seraji, Dds, A Professional Corporation 523 W 6th St Ste 202 Los Angeles CA 90014-1228 Ph: (213) 627-5895 | M. Seraji, Dds, A Professional Corporation 523 W 6th St Ste 202 Los Angeles CA 90014-1228 Ph: (213) 627-5895 |
| NPI Number | 1710183736 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710183736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42881 (California) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 49350 (California) | Primary |
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