| Raanan Dental Group Brentwood Inc. | |
|
11980 San Vicente Blvd Ste 811 Los Angeles CA 90049-6606 | |
| (310) 826-8911 | |
| Not Available |
| Full Name | Raanan Dental Group Brentwood Inc. |
|---|---|
| Speciality | Dentist |
| Location | 11980 San Vicente Blvd Ste 811, Los Angeles, California |
| Authorized Official Name and Position | Sol Chum (OPS MANAGER) |
| Authorized Official Contact | 9712264135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raanan Dental Group Brentwood Inc. 11980 San Vicente Blvd Ste 811 Los Angeles CA 90049-6606 Ph: (310) 826-8911 | Raanan Dental Group Brentwood Inc. 11980 San Vicente Blvd Ste 811 Los Angeles CA 90049-6606 Ph: (310) 826-8911 |
| NPI Number | 1083309470 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083309470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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