| Samuel Gabriel Dmd, Inc | |
|
18506 Hawthorne Blvd Torrance CA 90504-4515 | |
| (310) 508-8385 | |
| Not Available |
| Full Name | Samuel Gabriel Dmd, Inc |
|---|---|
| Speciality | Dentist |
| Location | 18506 Hawthorne Blvd, Torrance, California |
| Authorized Official Name and Position | Samuel Nabil Gabriel (OWNER) |
| Authorized Official Contact | 3105088385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Gabriel Dmd, Inc 18506 Hawthorne Blvd Torrance CA 90504-4515 Ph: (310) 508-8385 | Samuel Gabriel Dmd, Inc 18506 Hawthorne Blvd Torrance CA 90504-4515 Ph: (310) 508-8385 |
| NPI Number | 1215586466 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
| Medicare PECOS PAC ID | 9133545528 |
|---|---|
| Medicare Enrollment ID | O20200817000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215586466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Samuel Nabil Gabriel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952717381 PECOS PAC ID: 5799010047 Enrollment ID: I20190710000245 |
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