| Phd Dental Group | |
|
3737 Martin Luther King Jr Blvd Ste 106 Lynwood CA 90262-3524 | |
| (310) 631-1111 | |
| Not Available |
| Full Name | Phd Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3737 Martin Luther King Jr Blvd Ste 106, Lynwood, California |
| Authorized Official Name and Position | Pedram Bina (CEO) |
| Authorized Official Contact | 3104332722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phd Dental Group 3737 Martin Luther King Jr Blvd 106 Lynwood CA 90262-3513 Ph: (323) 266-5737 | Phd Dental Group 3737 Martin Luther King Jr Blvd Ste 106 Lynwood CA 90262-3524 Ph: (310) 631-1111 |
| NPI Number | 1396096228 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 06/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396096228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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