| |
18102 Pioneer Blvd # 104-105 Artesia CA 90701-3953 | |
(562) 895-9100 | |
(562) 865-9140 |
Full Name | |
---|---|
Speciality | Clinic/center - Dental |
Location | 18102 Pioneer Blvd # 104-105, Artesia, California |
Authorized Official Name and Position | George Xenakis (OWNER) |
Authorized Official Contact | 9173745082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
18102 Pioneer Blvd # 104-105 Artesia CA 90701-3953 Ph: (562) 895-9100 | 18102 Pioneer Blvd # 104-105 Artesia CA 90701-3953 Ph: (562) 895-9100 |
NPI Number | 1649655796 |
---|---|
Provider Enumeration Date | 07/29/2015 |
Last Update Date | 11/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649655796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 64232 (California) | Primary |
On Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19038 Norwalk Blvd, Suite B, Artesia, CA 90701 Phone: 714-556-6556 | |
Anna Belle A. Cuyong, D.m.d., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17510 Pioneer Blvd, Ste. 201, Artesia, CA 90701 Phone: 562-402-4952 Fax: 562-402-8195 | |
William Kim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12204 Artesia Blvd, Artesia, CA 90701 Phone: 909-525-3883 |