| Omid Dental Office | |
|
10530 Atlantic Ave South Gate CA 90280-7024 | |
| (323) 569-5000 | |
| (323) 569-4000 |
| Full Name | Omid Dental Office |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10530 Atlantic Ave, South Gate, California |
| Authorized Official Name and Position | Ardy Hakhamian (OWNER/DENTIST) |
| Authorized Official Contact | 3235695000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omid Dental Office 10530 Atlantic Ave South Gate CA 90280-7024 Ph: (323) 569-5000 | Omid Dental Office 10530 Atlantic Ave South Gate CA 90280-7024 Ph: (323) 569-5000 |
| NPI Number | 1568964856 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568964856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 63487 (California) | Primary |
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