Sina Dental Group | |
11645 Wilshire Blvd Suite 980 Los Angeles CA 90025 | |
(310) 820-0022 | |
(310) 820-4562 |
Full Name | Sina Dental Group |
---|---|
Speciality | Dentist |
Location | 11645 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Houshang Dowlatshahi (PRESIDENT OWNER) |
Authorized Official Contact | 3108200022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sina Dental Group 11645 Wilshire Blvd Suite 980 Los Angeles CA 90025 Ph: (310) 820-0022 | Sina Dental Group 11645 Wilshire Blvd Suite 980 Los Angeles CA 90025 Ph: (310) 820-0022 |
NPI Number | 1447345327 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 05/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447345327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 32061 (California) | Primary |
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