| Aesthetica Dental Group | |
|
3451 W Century Blvd Ste B1 Inglewood CA 90303-1228 | |
| (310) 330-9000 | |
| (310) 330-9303 |
| Full Name | Aesthetica Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3451 W Century Blvd Ste B1, Inglewood, California |
| Authorized Official Name and Position | Soheil Vahedi (OWNER) |
| Authorized Official Contact | 3107755225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetica Dental Group 3451 W Century Blvd Ste B1 Inglewood CA 90303-1228 Ph: (310) 330-9000 | Aesthetica Dental Group 3451 W Century Blvd Ste B1 Inglewood CA 90303-1228 Ph: (310) 330-9000 |
| NPI Number | 1003191123 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003191123 | NPI | - | NPPES |
| 1306982335 | Other | CA | PROVIDER |
| 1750437109 | Other | CA | PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54735 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 54539 (California) | Secondary |
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