| |
3005 E Palmdale Blvd #22 Palmdale CA 93550-1831 | |
(661) 273-5221 | |
(661) 273-5205 |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 3005 E Palmdale Blvd, Palmdale, California |
Authorized Official Name and Position | Karim Naguib (OWNER/DENTIST) |
Authorized Official Contact | 6612735221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3005 E Palmdale Blvd #22 Palmdale CA 93550-1831 Ph: (661) 273-5221 | 3005 E Palmdale Blvd #22 Palmdale CA 93550-1831 Ph: (661) 273-5221 |
NPI Number | 1902233570 |
---|---|
Provider Enumeration Date | 09/27/2013 |
Last Update Date | 09/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902233570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 38290 (California) | Primary |