| Salud Dental Group | |
|
2621 East First Street Los Angeles CA 90033 | |
| (323) 268-9386 | |
| (323) 268-9386 |
| Full Name | Salud Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2621 East First Street, Los Angeles, California |
| Authorized Official Name and Position | Siamak Khakshooy (PRESIDENT) |
| Authorized Official Contact | 3109259991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud Dental Group 2621 East First Street Los Angeles CA 90033 Ph: (323) 268-9386 | Salud Dental Group 2621 East First Street Los Angeles CA 90033 Ph: (323) 268-9386 |
| NPI Number | 1790164960 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790164960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54735 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 54539 (California) | Secondary |
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