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26640 Western Ave Ste M Harbor City CA 90710-3639 | |
| (310) 325-8111 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 26640 Western Ave Ste M, Harbor City, California |
| Authorized Official Name and Position | Lenny Dayrit (PRESIDENT) |
| Authorized Official Contact | 3103258111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
26640 Western Ave Ste M Harbor City CA 90710-3639 Ph: (310) 325-8111 | 26640 Western Ave Ste M Harbor City CA 90710-3639 Ph: (310) 325-8111 |
| NPI Number | 1811164197 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811164197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 42296 (California) | Primary |
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