| Forum Dental Group | |
|
400 E Regent St Inglewood CA 90301-1316 | |
| (310) 674-7590 | |
| (310) 674-3322 |
| Full Name | Forum Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 E Regent St, Inglewood, California |
| Authorized Official Name and Position | Pragnesh J Dholakiya (PARTNER) |
| Authorized Official Contact | 3106747590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forum Dental Group 400 E Regent St Inglewood CA 90301-1316 Ph: (310) 674-7590 | Forum Dental Group 400 E Regent St Inglewood CA 90301-1316 Ph: (310) 674-7590 |
| NPI Number | 1881894327 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881894327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27982 (California) | Primary |
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