| |
3680 E. Imperial Hwy #100 Lynwood CA 90262-2663 | |
(323) 987-1020 | |
(323) 987-1022 |
Full Name | |
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Speciality | Dentist |
Location | 3680 E. Imperial Hwy, Lynwood, California |
Authorized Official Name and Position | Maria Williamson (SUPERVISOR) |
Authorized Official Contact | 5624246200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o Box 93122 Long Beach CA 90809 Ph: (562) 424-6200 | 3680 E. Imperial Hwy #100 Lynwood CA 90262-2663 Ph: (323) 987-1020 |
NPI Number | 1851417653 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 11/24/2009 |
Identifier | Type | State | Issuer |
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1851417653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
122300000X | Dentist | 48503 (California) | Secondary |
122300000X | Dentist | 41564 (California) | Primary |
H.r.imankhan,dds,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11395 Atlantic Ave, Lynwood, CA 90262 Phone: 310-639-0884 Fax: 310-639-0013 | |
Steve Kim D.d.s. Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11395 Atlantic Ave, Lynwood, CA 90262 Phone: 909-282-7776 |