| Crescenta Family Dental | |
|
2644 Foothill Blvd La Crescenta CA 91214-3510 | |
| (818) 248-9988 | |
| (818) 248-0081 |
| Full Name | Crescenta Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2644 Foothill Blvd, La Crescenta, California |
| Authorized Official Name and Position | Sean Sohail Hakimi (OWNER) |
| Authorized Official Contact | 6612553130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescenta Family Dental P.o. Box 55368 Valencia CA 91385 Ph: (661) 255-3130 | Crescenta Family Dental 2644 Foothill Blvd La Crescenta CA 91214-3510 Ph: (818) 248-9988 |
| NPI Number | 1801087176 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801087176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39643 (California) | Primary |
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