| Oxy Dental | |
|
12122 Garfield Ave South Gate CA 90280-8033 | |
| (714) 501-3433 | |
| Not Available |
| Full Name | Oxy Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12122 Garfield Ave, South Gate, California |
| Authorized Official Name and Position | Timothy Changkeun Park (HEAD DOCTOR) |
| Authorized Official Contact | 7145013433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxy Dental 12124 Garfield Ave South Gate CA 90280-8033 Ph: (323) 775-9070 | Oxy Dental 12122 Garfield Ave South Gate CA 90280-8033 Ph: (714) 501-3433 |
| NPI Number | 1255935771 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255935771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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