| Rosedale Dental | |
|
2926 Marine Ave Gardena CA 90249-3655 | |
| (310) 538-4496 | |
| (310) 538-4495 |
| Full Name | Rosedale Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2926 Marine Ave, Gardena, California |
| Authorized Official Name and Position | Rose Marie Baniqued Quimson (GENERAL DENTIST) |
| Authorized Official Contact | 3105384496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosedale Dental 2926 Marine Ave Gardena CA 90249-3655 Ph: (310) 538-4496 | Rosedale Dental 2926 Marine Ave Gardena CA 90249-3655 Ph: (310) 538-4496 |
| NPI Number | 1245424399 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245424399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39873 (California) | Primary |
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