| Firestone Dental Group | |
|
3525 Firestone Blvd South Gate CA 90280-3031 | |
| (310) 566-0581 | |
| (323) 566-8328 |
| Full Name | Firestone Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3525 Firestone Blvd, South Gate, California |
| Authorized Official Name and Position | Sepideh Noroozi (OWNER) |
| Authorized Official Contact | 3235660581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firestone Dental Group 3525 Firestone Blvd South Gate CA 90280-3031 Ph: (310) 566-0581 | Firestone Dental Group 3525 Firestone Blvd South Gate CA 90280-3031 Ph: (310) 566-0581 |
| NPI Number | 1003255571 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003255571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38946 (California) | Primary |
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Sepideh Noroozi,dds,inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 3615 Firestone Blvd, South Gate, CA 90280 Phone: 323-566-0581 |