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4332 Slauson Ave Maywood CA 90270-2800 | |
| (323) 771-7777 | |
| (323) 562-5209 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4332 Slauson Ave, Maywood, California |
| Authorized Official Name and Position | Maria Olmos (OFFICE MANAGER) |
| Authorized Official Contact | 3237717777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4332 Slauson Ave Maywood CA 90270-2800 Ph: (323) 771-7777 | 4332 Slauson Ave Maywood CA 90270-2800 Ph: (323) 771-7777 |
| NPI Number | 1275896763 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275896763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24774 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4487 Slauson Ave, Maywood, CA 90270 Phone: 323-773-9961 Fax: 323-773-6235 |