Pacific Orthodontic Group | |
2021 Santa Monica Blvd Suite 340e Santa Monica CA 90404-2208 | |
(310) 846-8676 | |
Not Available |
Full Name | Pacific Orthodontic Group |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2021 Santa Monica Blvd, Santa Monica, California |
Authorized Official Name and Position | Maurice Firouz (DR) |
Authorized Official Contact | 3104475790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pacific Orthodontic Group 11150 Santa Monica Blvd Suite 1400 Los Angeles CA 90025-3380 Ph: (310) 846-8676 | Pacific Orthodontic Group 2021 Santa Monica Blvd Suite 340e Santa Monica CA 90404-2208 Ph: (310) 846-8676 |
NPI Number | 1184179129 |
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Provider Enumeration Date | 08/19/2016 |
Last Update Date | 08/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184179129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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