| Pap Dental Group, Llc | |
|
435 S Detroit St Apt 202 Los Angeles CA 90036-6402 | |
| (310) 927-5848 | |
| Not Available |
| Full Name | Pap Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 435 S Detroit St Apt 202, Los Angeles, California |
| Authorized Official Name and Position | Amir Korouri (SECRETARY OF CORPORATION) |
| Authorized Official Contact | 3109275848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pap Dental Group, Llc 435 S Detroit St Apt 202 Los Angeles CA 90036-6402 Ph: (310) 927-5848 | Pap Dental Group, Llc 435 S Detroit St Apt 202 Los Angeles CA 90036-6402 Ph: (310) 927-5848 |
| NPI Number | 1467789719 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467789719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55323 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 56649 (California) | Secondary |
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