| Narissa Ambata Dds Inc | |
|
4509 Slauson Ave Suite B Maywood CA 90270-2954 | |
| (323) 560-8999 | |
| Not Available |
| Full Name | Narissa Ambata Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 4509 Slauson Ave, Maywood, California |
| Authorized Official Name and Position | Narissa Bawalan Ambata (OWNER) |
| Authorized Official Contact | 3235608999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Narissa Ambata Dds Inc 4509 Slauson Ave Suite B Maywood CA 90270-2954 Ph: (323) 560-8999 | Narissa Ambata Dds Inc 4509 Slauson Ave Suite B Maywood CA 90270-2954 Ph: (323) 560-8999 |
| NPI Number | 1467863647 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467863647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61070 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4487 Slauson Ave, Maywood, CA 90270 Phone: 323-773-9961 Fax: 323-773-6235 |