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16700 Hawthorne Blvd Lawndale CA 90260-3243 | |
| (310) 564-3676 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 16700 Hawthorne Blvd, Lawndale, California |
| Authorized Official Name and Position | Richard John Malouf (PRESIDENT) |
| Authorized Official Contact | 4693488870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16700 Hawthorne Blvd Lawndale CA 90260-3243 Ph: (310) 564-3676 | 16700 Hawthorne Blvd Lawndale CA 90260-3243 Ph: (310) 564-3676 |
| NPI Number | 1659047140 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659047140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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