| M Ahmadi Dental Corp | |
|
4203 Gage Ave Bell CA 90201-1212 | |
| (323) 312-0500 | |
| Not Available |
| Full Name | M Ahmadi Dental Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 4203 Gage Ave, Bell, California |
| Authorized Official Name and Position | Mohammad Ahmadi (PRESIDENT) |
| Authorized Official Contact | 3106541098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Ahmadi Dental Corp 4203 Gage Ave Bell CA 90201-1212 Ph: (323) 312-0500 | M Ahmadi Dental Corp 4203 Gage Ave Bell CA 90201-1212 Ph: (323) 312-0500 |
| NPI Number | 1205005998 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 2567785926 |
|---|---|
| Medicare Enrollment ID | O20141216002302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205005998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D54399 (California) | Primary |
| Provider Name | Mohammad Ahmadi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629257795 PECOS PAC ID: 3375866734 Enrollment ID: I20141216002346 |
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