My Dentistry Dental Group | |
15418 Hawthorne Blvd Suite #a Lawndale CA 90260-3828 | |
(310) 675-7576 | |
(310) 675-7779 |
Full Name | My Dentistry Dental Group |
---|---|
Speciality | Dentist |
Location | 15418 Hawthorne Blvd, Lawndale, California |
Authorized Official Name and Position | Mirsaeid Sajjadi (CEO) |
Authorized Official Contact | 3106757576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Dentistry Dental Group 15418 Hawthorne Blvd Suite #a Lawndale CA 90260-3828 Ph: (310) 675-7576 | My Dentistry Dental Group 15418 Hawthorne Blvd Suite #a Lawndale CA 90260-3828 Ph: (310) 675-7576 |
NPI Number | 1215946447 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 10/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215946447 | NPI | - | NPPES |
G92446-01 | Other | CA | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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