| Sunrise Dental Group | |
|
13624 Hawthorne Blvd Suite 205 Hawthorne CA 90250 | |
| (310) 856-6574 | |
| (310) 856-6578 |
| Full Name | Sunrise Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 13624 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Mohsen Haghighatpour (PRESIDENT) |
| Authorized Official Contact | 3108566574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Dental Group 13624 Hawthorne Blvd Suite 205 Hawthorne CA 90250 Ph: (310) 856-6574 | Sunrise Dental Group 13624 Hawthorne Blvd Suite 205 Hawthorne CA 90250 Ph: (310) 856-6574 |
| NPI Number | 1780803825 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780803825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | CA 49327 (California) | Primary |
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