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1200 Rosecrans Ave Suite 107 Manhattan Beach CA 90266-2462 | |
| (310) 640-0967 | |
| (310) 607-9292 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Rosecrans Ave, Manhattan Beach, California |
| Authorized Official Name and Position | Joel David Gould (PRESIDENT) |
| Authorized Official Contact | 3106400967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1200 Rosecrans Ave Suite 107 Manhattan Beach CA 90266-2462 Ph: (310) 640-0967 | 1200 Rosecrans Ave Suite 107 Manhattan Beach CA 90266-2462 Ph: (310) 640-0967 |
| NPI Number | 1255705935 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255705935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48276 (California) | Primary |
Beach Teeth Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 Manhattan Beach Blvd Ste C232, Manhattan Beach, CA 90266 Phone: 310-545-4440 Fax: 310-545-4441 | |
Yigal Zibari, D.d.s., A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Rosecrans Ave Ste 101, Manhattan Beach, CA 90266 Phone: 310-615-1022 | |
Aaron P Gerson Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Highland Ave, Manhattan Beach, CA 90266 Phone: 310-545-4561 Fax: 310-545-4562 | |
Mohindra & Razi Dental Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Rosecrans Ave Ste 107, Manhattan Beach, CA 90266 Phone: 310-640-0967 |