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15018 La Mirada Blvd La Mirada CA 90638-4743 | |
| (714) 521-6827 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 15018 La Mirada Blvd, La Mirada, California |
| Authorized Official Name and Position | Mohammad Shiraz Haider (SECRETARY) |
| Authorized Official Contact | 9493029124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3116 E Woodbine Rd Orange CA 92867-2090 Ph: (949) 302-9124 | 15018 La Mirada Blvd La Mirada CA 90638-4743 Ph: (714) 521-6827 |
| NPI Number | 1578941977 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 04/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578941977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 64017 (California) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 57840 (California) | Secondary |
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Byun And Patel, A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15072 Rosecrans Ave, La Mirada, CA 90638 Phone: 714-522-5152 Fax: 714-522-5162 | |
Charles Kim Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15651 Imperial Hwy Ste 204, La Mirada, CA 90638 Phone: 562-943-3794 |