Maywood Dental Center | |
4509 E. Slauson Ave Ste B Maywood CA 90270-2954 | |
(323) 771-6000 | |
Not Available |
Full Name | Maywood Dental Center |
---|---|
Speciality | Dentist - General Practice |
Location | 4509 E. Slauson Ave Ste B, Maywood, California |
Authorized Official Name and Position | James T Wong (DENTIST) |
Authorized Official Contact | 3237716000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maywood Dental Center 4509 E. Slauson Ave Ste B Maywood CA 90270-2954 Ph: (323) 771-6000 | Maywood Dental Center 4509 E. Slauson Ave Ste B Maywood CA 90270-2954 Ph: (323) 771-6000 |
NPI Number | 1073667945 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073667945 | NPI | - | NPPES |
G93151-02 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 42713 (California) | Primary |
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