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9910 Long Beach Blvd Suite A Lynwood CA 90262-1561 | |
| (323) 563-8900 | |
| (323) 563-3434 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9910 Long Beach Blvd, Lynwood, California |
| Authorized Official Name and Position | Farid Pakravan (OWNER) |
| Authorized Official Contact | 3235638900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9910 Long Beach Blvd Suite A Lynwood CA 90262-1561 Ph: (323) 563-8900 | 9910 Long Beach Blvd Suite A Lynwood CA 90262-1561 Ph: (323) 563-8900 |
| NPI Number | 1164646618 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164646618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39862 (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 |