| Rosecrans Square Dental | |
|
11818 Rosecrans Ave Ste B Norwalk CA 90650-4125 | |
| (562) 406-3826 | |
| (562) 868-4444 |
| Full Name | Rosecrans Square Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11818 Rosecrans Ave Ste B, Norwalk, California |
| Authorized Official Name and Position | Eun Soo Lee (CEO) |
| Authorized Official Contact | 5624063826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosecrans Square Dental 11818 Rosecrans Ave Ste B Norwalk CA 90650-4125 Ph: (562) 406-3826 | Rosecrans Square Dental 11818 Rosecrans Ave Ste B Norwalk CA 90650-4125 Ph: (562) 406-3826 |
| NPI Number | 1376174508 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376174508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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