Sepideh Noroozi,dds,inc. | |
3615 Firestone Blvd South Gate CA 90280-3129 | |
(323) 566-0581 | |
Not Available |
Full Name | Sepideh Noroozi,dds,inc. |
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Speciality | Dentist |
Location | 3615 Firestone Blvd, South Gate, California |
Authorized Official Name and Position | Sepideh Noroozi (PRESIDENT) |
Authorized Official Contact | 3235660581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sepideh Noroozi,dds,inc. 3615 Firestone Blvd South Gate CA 90280-3129 Ph: () - | Sepideh Noroozi,dds,inc. 3615 Firestone Blvd South Gate CA 90280-3129 Ph: (323) 566-0581 |
NPI Number | 1184174856 |
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Provider Enumeration Date | 10/06/2016 |
Last Update Date | 02/28/2017 |
Medicare PECOS PAC ID | 7719245893 |
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Medicare Enrollment ID | O20171219000537 |
Identifier | Type | State | Issuer |
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1184174856 | NPI | - | NPPES |
Provider Name | Sepideh Noroozi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1689695884 PECOS PAC ID: 8628336708 Enrollment ID: I20180413000928 |
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