| Samuel R Maehara Dds Inc | |
|
17700 Pioneer Blvd Artesia CA 90701-4011 | |
| (562) 865-0013 | |
| (563) 860-7136 |
| Full Name | Samuel R Maehara Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 17700 Pioneer Blvd, Artesia, California |
| Authorized Official Name and Position | Samuel R Maehara (DENTIST) |
| Authorized Official Contact | 5628650013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel R Maehara Dds Inc 17700 Pioneer Blvd Artesia CA 90701-4011 Ph: (562) 865-0013 | Samuel R Maehara Dds Inc 17700 Pioneer Blvd Artesia CA 90701-4011 Ph: (562) 865-0013 |
| NPI Number | 1750586590 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750586590 | NPI | - | NPPES |
| B18371-01 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18371 (California) | Primary |
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