| Dentist Of Gardena | |
|
1600 W Redondo Beach Blvd Ste 203 Gardena CA 90247-3228 | |
| (424) 426-6608 | |
| Not Available |
| Full Name | Dentist Of Gardena |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1600 W Redondo Beach Blvd Ste 203, Gardena, California |
| Authorized Official Name and Position | Omid R Barkhordar (OWNER) |
| Authorized Official Contact | 8186241601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist Of Gardena 16461 Whittier Blvd Whittier CA 90603-3045 Ph: (562) 600-0941 | Dentist Of Gardena 1600 W Redondo Beach Blvd Ste 203 Gardena CA 90247-3228 Ph: (424) 426-6608 |
| NPI Number | 1235736513 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235736513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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