| Pacific Dental Group | |
|
111 S Garfiled Ave # 101 Montebello CA 90640-3800 | |
| (323) 725-6797 | |
| (323) 725-7692 |
| Full Name | Pacific Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 S Garfiled Ave, Montebello, California |
| Authorized Official Name and Position | Harmik Derhartounian (PRESIDENT,CEO) |
| Authorized Official Contact | 3237256797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Dental Group 111 S Garfiled Ave # 101 Montebello CA 90640-3800 Ph: (323) 725-6797 | Pacific Dental Group 111 S Garfiled Ave # 101 Montebello CA 90640-3800 Ph: (323) 725-6797 |
| NPI Number | 1033251970 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033251970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41394 (California) | Primary |
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