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2639 Santa Ana St South Gate CA 90280-2025 | |
(323) 583-1481 | |
(562) 381-9150 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 2639 Santa Ana St, South Gate, California |
Authorized Official Name and Position | Behnoud Reyhani (OWNER) |
Authorized Official Contact | 5629253735 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9426 Somerset Blvd Bellflower CA 90706-3009 Ph: (562) 925-3735 | 2639 Santa Ana St South Gate CA 90280-2025 Ph: (323) 583-1481 |
NPI Number | 1821585803 |
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Provider Enumeration Date | 04/16/2018 |
Last Update Date | 04/07/2020 |
Identifier | Type | State | Issuer |
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1821585803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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