| Southeast Dental Group | |
|
4332 Slauson Ave Maywood CA 90270-2848 | |
| (323) 771-7777 | |
| (323) 562-5209 |
| Full Name | Southeast Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4332 Slauson Ave, Maywood, California |
| Authorized Official Name and Position | Leonard Jack Feld (OWNER/DENTIST) |
| Authorized Official Contact | 3237717777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Dental Group 4332 Slauson Ave Maywood CA 90270-2848 Ph: (323) 771-7777 | Southeast Dental Group 4332 Slauson Ave Maywood CA 90270-2848 Ph: (323) 771-7777 |
| NPI Number | 1336577717 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 10/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336577717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24774 (California) | Primary |
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Summer Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 East Slauson Ave, Maywood, CA 90270 Phone: 323-560-4658 Fax: 323-560-4204 | |
Genesis Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6040b Atlantic Blvd, Maywood, CA 90270 Phone: 323-476-7558 Fax: 323-476-7576 | |
Southeast Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4332 Slauson Ave, Maywood, CA 90270 Phone: 323-771-7777 Fax: 323-562-5209 | |
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