Reza Ghasemi, Dds Inc. | |
9849 Atlantic Ave Ste F South Gate CA 90280-5200 | |
(323) 457-8787 | |
Not Available |
Full Name | Reza Ghasemi, Dds Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 9849 Atlantic Ave Ste F, South Gate, California |
Authorized Official Name and Position | Reza Ghasemi (OWNER DENTIST) |
Authorized Official Contact | 3234578787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reza Ghasemi, Dds Inc. 9849 Atlantic Ave Ste F South Gate CA 90280-5200 Ph: (323) 457-8787 | Reza Ghasemi, Dds Inc. 9849 Atlantic Ave Ste F South Gate CA 90280-5200 Ph: (323) 457-8787 |
NPI Number | 1255918660 |
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Provider Enumeration Date | 03/24/2021 |
Last Update Date | 03/24/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255918660 | NPI | - | NPPES |
103781 | Other | CA | DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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