| |
8524 1/2 Rosecrans Ave Paramount CA 90723-3644 | |
(562) 633-3082 | |
(562) 633-3067 |
Full Name | |
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Speciality | Dentist |
Location | 8524 1/2 Rosecrans Ave, Paramount, California |
Authorized Official Name and Position | Ali S Shahidi (PRESIDENT/DENTIST) |
Authorized Official Contact | 5626333082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8524 1/2 Rosecrans Ave Paramount CA 90723-3644 Ph: (562) 633-3082 | 8524 1/2 Rosecrans Ave Paramount CA 90723-3644 Ph: (562) 633-3082 |
NPI Number | 1891131777 |
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Provider Enumeration Date | 05/17/2013 |
Last Update Date | 05/17/2013 |
Identifier | Type | State | Issuer |
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1891131777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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