| St Francis Hospital Dental Group | |
|
411 S Long Beach Blvd Compton CA 90221-3427 | |
| (310) 537-2217 | |
| (310) 537-8062 |
| Full Name | St Francis Hospital Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 411 S Long Beach Blvd, Compton, California |
| Authorized Official Name and Position | Alphonso Faison (CORPORATION SECRETARY) |
| Authorized Official Contact | 3105372217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Francis Hospital Dental Group 411 S Long Beach Blvd Compton CA 90221-3427 Ph: (310) 537-2217 | St Francis Hospital Dental Group 411 S Long Beach Blvd Compton CA 90221-3427 Ph: (310) 537-2217 |
| NPI Number | 1154314060 |
|---|---|
| Provider Enumeration Date | 08/25/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154314060 | NPI | - | NPPES |
| B2525202 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 37330 (California) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 25252 (California) | Primary |
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