Yolanda S Cervantes Dmd, Inc. | |
208 E Carson St Suite 200 Carson CA 90745-2700 | |
(310) 830-2624 | |
(310) 830-4464 |
Full Name | Yolanda S Cervantes Dmd, Inc. |
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Speciality | Dentist - General Practice |
Location | 208 E Carson St, Carson, California |
Authorized Official Name and Position | Michael M Cervantes (OWNER) |
Authorized Official Contact | 3108302624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Yolanda S Cervantes Dmd, Inc. 208 E Carson St Suite 200 Carson CA 90745-2700 Ph: (310) 830-2624 | Yolanda S Cervantes Dmd, Inc. 208 E Carson St Suite 200 Carson CA 90745-2700 Ph: (310) 830-2624 |
NPI Number | 1487694840 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 08/25/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487694840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 36051 (California) | Primary |
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