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125 E Compton Blvd Compton CA 90220-2410 | |
| (310) 856-0687 | |
| (310) 856-0689 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 E Compton Blvd, Compton, California |
| Authorized Official Name and Position | Michael Tuan Dao (PRIMARY DENTIST) |
| Authorized Official Contact | 7147851352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
125 E Compton Blvd Compton CA 90220-2410 Ph: (310) 856-0687 | 125 E Compton Blvd Compton CA 90220-2410 Ph: (310) 856-0687 |
| NPI Number | 1295937811 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295937811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CA46776 (California) | Primary |
| 1223G0001X | Dentist - General Practice | CA43931 (California) | Secondary |
Korouri Sage Bina Professional Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 S Long Beach Blvd, Compton, CA 90221 Phone: 310-876-2534 | |
Linda C. Onyeador, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Compton Blvd, Suite #103, Compton, CA 90220 Phone: 310-762-9292 Fax: 310-762-6680 |