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1633 S Alameda St Ste 101 Compton CA 90220-4976 | |
| (310) 820-9933 | |
| (310) 820-0408 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1633 S Alameda St Ste 101, Compton, California |
| Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Contact | 3104094225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 409-4225 | 1633 S Alameda St Ste 101 Compton CA 90220-4976 Ph: (310) 820-9933 |
| NPI Number | 1659903656 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659903656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Korouri Sage Bina Professional Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 S Long Beach Blvd, Compton, CA 90221 Phone: 310-876-2534 | |
Linda C. Onyeador, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Compton Blvd, Suite #103, Compton, CA 90220 Phone: 310-762-9292 Fax: 310-762-6680 |