| Jiten M Vasa, Dds., Inc | |
|
11455 Carson St Ste E Lakewood CA 90715-2581 | |
| (562) 860-7116 | |
| (562) 860-7115 |
| Full Name | Jiten M Vasa, Dds., Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11455 Carson St Ste E, Lakewood, California |
| Authorized Official Name and Position | Jiten M Vasa (OWNER DENTIST) |
| Authorized Official Contact | 5628607116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jiten M Vasa, Dds., Inc 11455 Carson St Ste E Lakewood CA 90715-2581 Ph: (562) 860-7116 | Jiten M Vasa, Dds., Inc 11455 Carson St Ste E Lakewood CA 90715-2581 Ph: (562) 860-7116 |
| NPI Number | 1114137338 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114137338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30025 (California) | Primary |
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