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26640 Western Ave Ste M Harbor City CA 90710-3639 | |
(310) 325-8111 | |
Not Available |
Full Name | |
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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 |
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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 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 05/15/2008 |
Identifier | Type | State | Issuer |
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1811164197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 42296 (California) | Primary |
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