| E. N. St. George, DDS, Inc | |
|
10249 Paramount Blvd Downey CA 90241-2362 | |
| (562) 927-2602 | |
| (562) 928-9232 |
| Full Name | E. N. St. George, DDS, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10249 Paramount Blvd, Downey, California |
| Authorized Official Name and Position | Edward Nicholas St. George (PRESIDENT) |
| Authorized Official Contact | 5629272602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. N. St. George, DDS, Inc 10249 Paramount Blvd Downey CA 90241-2362 | E. N. St. George, DDS, Inc 10249 Paramount Blvd Downey CA 90241-2362 Ph: (562) 927-2602 |
| NPI Number | 1710002555 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710002555 | NPI | - | NPPES |
| 1295794709 | Other | CA | TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21404 (California) | Primary |
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