Santa Clara Dental | |
4126 Crenshaw Blvd Los Angeles CA 90008-2549 | |
(323) 294-9600 | |
Not Available |
Full Name | Santa Clara Dental |
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Speciality | Dentist - General Practice |
Location | 4126 Crenshaw Blvd, Los Angeles, California |
Authorized Official Name and Position | Gilberta Leticia Galvez (DENTIST) |
Authorized Official Contact | 3232949600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Santa Clara Dental 4126 Crenshaw Blvd Los Angeles CA 90008-2549 Ph: (323) 294-9600 | Santa Clara Dental 4126 Crenshaw Blvd Los Angeles CA 90008-2549 Ph: (323) 294-9600 |
NPI Number | 1639322431 |
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Provider Enumeration Date | 10/24/2008 |
Last Update Date | 10/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639322431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 56689 (California) | Primary |
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