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436 N Sunset Ave West Covina CA 91790-1652 | |
(626) 337-7271 | |
(626) 337-8125 |
Full Name | |
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Speciality | Dentist - Periodontics |
Location | 436 N Sunset Ave, West Covina, California |
Authorized Official Name and Position | Homan Hanasab (PRESIDENT) |
Authorized Official Contact | 6263377271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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436 N Sunset Ave West Covina CA 91790-1652 Ph: (626) 337-7271 | 436 N Sunset Ave West Covina CA 91790-1652 Ph: (626) 337-7271 |
NPI Number | 1770022428 |
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Provider Enumeration Date | 02/14/2017 |
Last Update Date | 02/14/2017 |
Identifier | Type | State | Issuer |
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1770022428 | NPI | - | NPPES |
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