| Specialty Dental Group | |
|
1777 N Bellflower Blvd Ste 102 Long Beach CA 90815-4019 | |
| (909) 948-7211 | |
| (909) 948-7213 |
| Full Name | Specialty Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1777 N Bellflower Blvd Ste 102, Long Beach, California |
| Authorized Official Name and Position | Jorge Osorio (PARTNER) |
| Authorized Official Contact | 9099487213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Dental Group 1777 N Bellflower Blvd Ste 102 Long Beach CA 90815-4019 Ph: () - | Specialty Dental Group 1777 N Bellflower Blvd Ste 102 Long Beach CA 90815-4019 Ph: (909) 948-7211 |
| NPI Number | 1386986362 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386986362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
| 1223E0200X | Dentist - Endodontics | (California) | Secondary |
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