Firestone Dental Group | |
3525 Firestone Blvd South Gate CA 90280-3031 | |
(310) 566-0581 | |
(323) 566-8328 |
Full Name | Firestone Dental Group |
---|---|
Speciality | Dentist |
Location | 3525 Firestone Blvd, South Gate, California |
Authorized Official Name and Position | Sepideh Noroozi (OWNER) |
Authorized Official Contact | 3235660581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Firestone Dental Group 3525 Firestone Blvd South Gate CA 90280-3031 Ph: (310) 566-0581 | Firestone Dental Group 3525 Firestone Blvd South Gate CA 90280-3031 Ph: (310) 566-0581 |
NPI Number | 1003255571 |
---|---|
Provider Enumeration Date | 06/18/2013 |
Last Update Date | 06/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003255571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 38946 (California) | Primary |
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