| Select Dental Practice | |
|
3116 Peck Rd El Monte CA 91731-3428 | |
| (626) 454-2444 | |
| (626) 454-1515 |
| Full Name | Select Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3116 Peck Rd, El Monte, California |
| Authorized Official Name and Position | Raffi Albert Guedikian (DENTIST/OWNER) |
| Authorized Official Contact | 6264542444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Dental Practice 3116 Peck Rd El Monte CA 91731-3428 Ph: (626) 454-2444 | Select Dental Practice 3116 Peck Rd El Monte CA 91731-3428 Ph: (626) 454-2444 |
| NPI Number | 1548456130 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548456130 | NPI | - | NPPES |
| G9359101 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37424 (California) | Primary |
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