Pacific Dental Aesthetics | |
14650 Aviation Blvd Suite 185 Hawthorne CA 90250-6668 | |
(310) 643-9711 | |
(310) 643-0933 |
Full Name | Pacific Dental Aesthetics |
---|---|
Speciality | Dentist - General Practice |
Location | 14650 Aviation Blvd, Hawthorne, California |
Authorized Official Name and Position | Arthur James Natvig (TREASURER) |
Authorized Official Contact | 3106439711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pacific Dental Aesthetics 14650 Aviation Blvd Suite 185 Hawthorne CA 90250-6668 Ph: (310) 643-9711 | Pacific Dental Aesthetics 14650 Aviation Blvd Suite 185 Hawthorne CA 90250-6668 Ph: (310) 643-9711 |
NPI Number | 1306266838 |
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Provider Enumeration Date | 04/23/2014 |
Last Update Date | 04/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306266838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 20918 (California) | Primary |
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