| Southwest Dental Group | |
|
1502 So La Brucherie Rd. El Centro CA 92243 | |
| (760) 482-5505 | |
| (760) 482-5501 |
| Full Name | Southwest Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1502 So La Brucherie Rd., El Centro, California |
| Authorized Official Name and Position | Javad Aghaloo (BUSINESS OWNER) |
| Authorized Official Contact | 7604825505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Dental Group 1502 So La Brucherie Rd. El Centro CA 92243 Ph: (760) 482-5505 | Southwest Dental Group 1502 So La Brucherie Rd. El Centro CA 92243 Ph: (760) 482-5505 |
| NPI Number | 1134376551 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 03/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134376551 | NPI | - | NPPES |
| 719949 | Other | UNITED CONCORDIA | |
| B37992-01 | Other | HEALTHY FAMILIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37992 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 51184 (California) | Primary |
Pal, Azatyan, Khachatryan, A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 S La Brucherie Rd Ste A, El Centro, CA 92243 Phone: 760-282-3556 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 N Imperial Ave, El Centro, CA 92243 Phone: 760-370-3950 Fax: 760-370-0150 | |
Desert Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Ocotillo Drive, Suite A, El Centro, CA 92243 Phone: 760-337-8868 Fax: 760-337-8898 | |
Baker And Khorsand Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 W Main St, Ste #a, El Centro, CA 92243 Phone: 760-339-9992 Fax: 760-353-3635 | |
Dr. Roland Yakubov Professional Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 W Main St Ste A, El Centro, CA 92243 Phone: 818-726-8534 | |
Khorsand Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 W Main St, Ste #a, El Centro, CA 92243 Phone: 760-339-9992 Fax: 760-353-3635 |