| Dentist Near Me Culver City | |
|
4310 Overland Ave Culver City CA 90230-4117 | |
| (310) 837-8087 | |
| Not Available |
| Full Name | Dentist Near Me Culver City |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4310 Overland Ave, Culver City, California |
| Authorized Official Name and Position | Nicole Guirguis (CEO) |
| Authorized Official Contact | 3108378087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist Near Me Culver City 4310 Overland Ave Culver City CA 90230-4117 Ph: (310) 837-8087 | Dentist Near Me Culver City 4310 Overland Ave Culver City CA 90230-4117 Ph: (310) 837-8087 |
| NPI Number | 1124711007 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 05/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124711007 | NPI | - | NPPES |
| 1083135933 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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