|
| |
|
4201 East Slauson Ave Maywood CA 90270 | |
| (323) 560-4658 | |
| (323) 560-4204 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4201 East Slauson Ave, Maywood, California |
| Authorized Official Name and Position | Gary Garoian (PRESIDENT) |
| Authorized Official Contact | 3235604658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4201 East Slauson Ave Maywood CA 90270 Ph: (323) 560-4658 | 4201 East Slauson Ave Maywood CA 90270 Ph: (323) 560-4658 |
| NPI Number | 1134350267 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 08/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134350267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33579 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4487 Slauson Ave, Maywood, CA 90270 Phone: 323-773-9961 Fax: 323-773-6235 |