| |
4943 Paramount Blvd Lakewood CA 90712-2903 | |
(562) 634-2500 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 4943 Paramount Blvd, Lakewood, California |
Authorized Official Name and Position | Minh Duy Nguyen (PRESIDENT) |
Authorized Official Contact | 5626342500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4943 Paramount Blvd Lakewood CA 90712-2903 Ph: (562) 634-2500 | 4943 Paramount Blvd Lakewood CA 90712-2903 Ph: (562) 634-2500 |
NPI Number | 1235276619 |
---|---|
Provider Enumeration Date | 02/01/2007 |
Last Update Date | 12/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235276619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 53257 (California) | Primary |
Ismile Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Lakewood Center Mall, Lakewood, CA 90712 Phone: 562-531-7788 | |
Kenny Young Kim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20147 Pioneer Blvd, Lakewood, CA 90715 Phone: 562-924-0558 | |
Abaro Dds Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4346 South St, Lakewood, CA 90712 Phone: 562-408-3500 Fax: 562-408-3736 | |