| Pacific Dental & Implants | |
|
6318 Pacific Blvd Huntington Park CA 90255-4102 | |
| (323) 588-4869 | |
| (323) 588-2839 |
| Full Name | Pacific Dental & Implants |
|---|---|
| Speciality | Dentist |
| Location | 6318 Pacific Blvd, Huntington Park, California |
| Authorized Official Name and Position | Arash Jake Saedi (PRESIDENT) |
| Authorized Official Contact | 3235884869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Dental & Implants 6318 Pacific Blvd Huntington Park CA 90255-4102 Ph: (323) 588-4869 | Pacific Dental & Implants 6318 Pacific Blvd Huntington Park CA 90255-4102 Ph: (323) 588-4869 |
| NPI Number | 1124406293 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 07/30/2015 |
| Medicare PECOS PAC ID | 9436469095 |
|---|---|
| Medicare Enrollment ID | O20151111000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124406293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D54198 (California) | Primary |
| Provider Name | Arash Saedi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932156700 PECOS PAC ID: 0345550901 Enrollment ID: I20151112000787 |
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