| K&e Family Dental | |
|
4181 Redondo Beach Blvd Lawndale CA 90260-3340 | |
| (310) 371-6513 | |
| Not Available |
| Full Name | K&e Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 4181 Redondo Beach Blvd, Lawndale, California |
| Authorized Official Name and Position | Eric L Lin (PRESIDENT) |
| Authorized Official Contact | 3105272934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K&e Family Dental 4181 Redondo Beach Blvd Lawndale CA 90260-3340 Ph: (310) 371-6513 | K&e Family Dental 4181 Redondo Beach Blvd Lawndale CA 90260-3340 Ph: (310) 371-6513 |
| NPI Number | 1124318662 |
|---|---|
| Provider Enumeration Date | 04/18/2011 |
| Last Update Date | 04/18/2011 |
| Medicare PECOS PAC ID | 4981934288 |
|---|---|
| Medicare Enrollment ID | O20190930003217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124318662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56553 (California) | Primary |
| Provider Name | Eric L Lin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326228107 PECOS PAC ID: 5890025191 Enrollment ID: I20190930003243 |
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