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8728 Imperial Hwy Downey CA 90242-3906 | |
| (562) 862-9199 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 8728 Imperial Hwy, Downey, California |
| Authorized Official Name and Position | Niranjan J Shah (OWNER) |
| Authorized Official Contact | 5628629199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8728 Imperial Hwy Downey CA 90242-3906 Ph: (562) 862-9199 | 8728 Imperial Hwy Downey CA 90242-3906 Ph: (562) 862-9199 |
| NPI Number | 1457534521 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457534521 | NPI | - | NPPES |
| 1922060730 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29459 (California) | Primary |
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