| Qureshi Compton Family Dental Practice | |
|
1946 E Rosecrans Ave Compton CA 90221-1710 | |
| (310) 868-9560 | |
| (310) 868-9221 |
| Full Name | Qureshi Compton Family Dental Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1946 E Rosecrans Ave, Compton, California |
| Authorized Official Name and Position | Azeem Harris Qureshi (INCORPORATOR/PRESIDENT) |
| Authorized Official Contact | 3108689560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qureshi Compton Family Dental Practice 1946 E Rosecrans Ave Compton CA 90221-1710 Ph: (310) 868-9560 | Qureshi Compton Family Dental Practice 1946 E Rosecrans Ave Compton CA 90221-1710 Ph: (310) 868-9560 |
| NPI Number | 1205035714 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205035714 | NPI | - | NPPES |
| G 94108-01 | Other | CA | DENTI-CAL/MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 41777 (California) | Primary |
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