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1154 E Palmdale Blvd Palmdale CA 93550-4866 | |
(866) 427-0474 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 1154 E Palmdale Blvd, Palmdale, California |
Authorized Official Name and Position | Matthew Tsai (CEO) |
Authorized Official Contact | 9493317074 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1680 E Hill St Signal Hill CA 90755-3612 Ph: (562) 424-6200 | 1154 E Palmdale Blvd Palmdale CA 93550-4866 Ph: (866) 427-0474 |
NPI Number | 1295031250 |
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Provider Enumeration Date | 02/08/2011 |
Last Update Date | 02/08/2011 |
Identifier | Type | State | Issuer |
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1295031250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 41564 (California) | Primary |