Washington Dental Services | |
1005 E Washington Blvd Ste B Los Angeles CA 90021-3020 | |
(213) 765-0004 | |
Not Available |
Full Name | Washington Dental Services |
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Speciality | Dentist - General Practice |
Location | 1005 E Washington Blvd Ste B, Los Angeles, California |
Authorized Official Name and Position | David Ganji (PART OWNER) |
Authorized Official Contact | 2137650004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Washington Dental Services 1005 E Washington Blvd Ste B Los Angeles CA 90021-3020 Ph: (213) 765-0004 | Washington Dental Services 1005 E Washington Blvd Ste B Los Angeles CA 90021-3020 Ph: (213) 765-0004 |
NPI Number | 1598055527 |
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Provider Enumeration Date | 04/11/2011 |
Last Update Date | 08/24/2012 |
Identifier | Type | State | Issuer |
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1598055527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 58334 (California) | Primary |
1223G0001X | Dentist - General Practice | 58353 (California) | Secondary |
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