| Sol Cohen-sedgh Dental Corporation | |
|
1044 Cherry Valley Blvd Ste 400 Calimesa CA 92320-2247 | |
| (310) 820-9933 | |
| (310) 820-0408 |
| Full Name | Sol Cohen-sedgh Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1044 Cherry Valley Blvd Ste 400, Calimesa, California |
| Authorized Official Name and Position | Miguel Reyes (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Authorized Official Contact | 3104094225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sol Cohen-sedgh Dental Corporation 12121 Wilshire Blvd Ste 1111 Los Angeles CA 90025-1188 Ph: (310) 820-9933 | Sol Cohen-sedgh Dental Corporation 1044 Cherry Valley Blvd Ste 400 Calimesa CA 92320-2247 Ph: (310) 820-9933 |
| NPI Number | 1144923756 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144923756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Boulevard Dental Group Of Paul Aka Dds, & Ike Tomas Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Calimesa Blvd, Calimesa, CA 92320 Phone: 909-570-4087 Fax: 909-570-9405 |