| State Family Dental | |
|
8928 State St South Gate CA 90280-2926 | |
| (323) 567-2995 | |
| (323) 567-2930 |
| Full Name | State Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8928 State St, South Gate, California |
| Authorized Official Name and Position | Noran Jeong (PRESIDENT) |
| Authorized Official Contact | 3235672995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Family Dental 516 N Mariposa Ave Los Angeles CA 90004-2806 Ph: (646) 236-0717 | State Family Dental 8928 State St South Gate CA 90280-2926 Ph: (323) 567-2995 |
| NPI Number | 1679964951 |
|---|---|
| Provider Enumeration Date | 02/09/2015 |
| Last Update Date | 02/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679964951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57737 (California) | Primary |
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