Downey Modern Dentistry Dental Group | |
12214 Lakewood Blvd Ste 102 Downey CA 90242-2663 | |
(562) 273-2050 | |
(562) 247-9788 |
Full Name | Downey Modern Dentistry Dental Group |
---|---|
Speciality | Dentist |
Location | 12214 Lakewood Blvd Ste 102, Downey, California |
Authorized Official Name and Position | Ariella Pessah (GP/OWNER) |
Authorized Official Contact | 5622732050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Downey Modern Dentistry Dental Group Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | Downey Modern Dentistry Dental Group 12214 Lakewood Blvd Ste 102 Downey CA 90242-2663 Ph: (562) 273-2050 |
NPI Number | 1619528064 |
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Provider Enumeration Date | 09/26/2019 |
Last Update Date | 08/05/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619528064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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