| Palmdale Dental Group | |
|
1154 E Palmdale Blvd Palmdale CA 93550-4866 | |
| (661) 947-2135 | |
| (661) 947-5419 |
| Full Name | Palmdale Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1154 E Palmdale Blvd, Palmdale, California |
| Authorized Official Name and Position | David Rabizadeh (OFFICER) |
| Authorized Official Contact | 6619472135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmdale Dental Group 1154 E Palmdale Blvd Palmdale CA 93550-4866 Ph: (661) 947-2135 | Palmdale Dental Group 1154 E Palmdale Blvd Palmdale CA 93550-4866 Ph: (661) 947-2135 |
| NPI Number | 1063963213 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063963213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41984 (California) | Secondary |
| 122300000X | Dentist | (California) | Primary |
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