New Century Dental Group | |
6333 Wilshire Blvd 207 Los Angeles CA 90048-5702 | |
(323) 653-5484 | |
(323) 653-5485 |
Full Name | New Century Dental Group |
---|---|
Speciality | Dentist |
Location | 6333 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Mark Treystman (OWNER) |
Authorized Official Contact | 3236535484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Century Dental Group 6333 Wilshire Blvd 207 Los Angeles CA 90048-5702 Ph: (323) 653-5484 | New Century Dental Group 6333 Wilshire Blvd 207 Los Angeles CA 90048-5702 Ph: (323) 653-5484 |
NPI Number | 1972679124 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 10/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972679124 | NPI | - | NPPES |
D45416 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 45416 (California) | Primary |
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