| Bay Dental Center | |
|
16910 Hawthorne Blvd Lawndale CA 90260-3215 | |
| (310) 542-4333 | |
| (310) 370-6779 |
| Full Name | Bay Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 16910 Hawthorne Blvd, Lawndale, California |
| Authorized Official Name and Position | Sunen G Pandya (OWNER) |
| Authorized Official Contact | 3105424333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Dental Center 16910 Hawthorne Blvd Lawndale CA 90260-3215 Ph: (310) 542-4333 | Bay Dental Center 16910 Hawthorne Blvd Lawndale CA 90260-3215 Ph: (310) 542-4333 |
| NPI Number | 1265671176 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 10/13/2021 |
| Medicare PECOS PAC ID | 6608264841 |
|---|---|
| Medicare Enrollment ID | O20211021000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265671176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50805 (California) | Primary |
| Provider Name | Sunen Pandya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326073958 PECOS PAC ID: 5395168637 Enrollment ID: I20200706001590 |
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