| Atlas Dental Care | |
|
2732 Santa Anita Ave El Monte CA 91733-2262 | |
| (626) 444-2605 | |
| (626) 444-0615 |
| Full Name | Atlas Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2732 Santa Anita Ave, El Monte, California |
| Authorized Official Name and Position | Miles Madison (PRESIDENT) |
| Authorized Official Contact | 6264442605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Dental Care 2732 Santa Anita Ave El Monte CA 91733-2262 Ph: (626) 444-2605 | Atlas Dental Care 2732 Santa Anita Ave El Monte CA 91733-2262 Ph: (626) 444-2605 |
| NPI Number | 1033243498 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/09/2015 |
| Medicare PECOS PAC ID | 5890126940 |
|---|---|
| Medicare Enrollment ID | O20200506000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033243498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37446 (California) | Primary |
| Provider Name | Saman Harouni |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1770929572 PECOS PAC ID: 2365874724 Enrollment ID: I20200316002308 |
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