| Gardina Dental Center | |
| 
					15201 S. Western Ave. Gardina CA 90249  | |
| (310) 532-7323 | |
| (310) 532-7774 | 
| Full Name | Gardina Dental Center | 
|---|---|
| Speciality | Dentist | 
| Location | 15201 S. Western Ave., Gardina, California | 
| Authorized Official Name and Position | Seyoung Kim (DENTIST OWNER) | 
| Authorized Official Contact | 3105327323 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gardina Dental Center 15201 S. Western Ave. Gardina CA 90249 Ph: (310) 532-7323  | Gardina Dental Center 15201 S. Western Ave. Gardina CA 90249 Ph: (310) 532-7323  | 
| NPI Number | 1215050919 | 
|---|---|
| Provider Enumeration Date | 04/09/2007 | 
| Last Update Date | 11/24/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215050919 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 28586 (California) | Primary |