| Santa Maria Dental Office Inc | |
|
11938 South Hawthorne Blv Hawthorne CA 90250 | |
| (310) 973-0945 | |
| (310) 973-2135 |
| Full Name | Santa Maria Dental Office Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11938 South Hawthorne Blv, Hawthorne, California |
| Authorized Official Name and Position | Nawal Nazeer Rofael (PRESIDENT) |
| Authorized Official Contact | 3109730945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Dental Office Inc 11938 South Hawthorne Blv Hawthorne CA 90250 Ph: (310) 973-0945 | Santa Maria Dental Office Inc 11938 South Hawthorne Blv Hawthorne CA 90250 Ph: (310) 973-0945 |
| NPI Number | 1275608010 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275608010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37486 (California) | Primary |
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