| Roshanak Haghshenas Dds Inc | |
|
7940 Atlantic Ave Cudahy CA 90201-5773 | |
| (424) 429-9107 | |
| (424) 429-9108 |
| Full Name | Roshanak Haghshenas Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7940 Atlantic Ave, Cudahy, California |
| Authorized Official Name and Position | Roshanak Haghshenas (OWNER) |
| Authorized Official Contact | 4244299107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roshanak Haghshenas Dds Inc 7940 Atlantic Ave Cudahy CA 90201-5773 Ph: (424) 429-9107 | Roshanak Haghshenas Dds Inc 7940 Atlantic Ave Cudahy CA 90201-5773 Ph: (424) 429-9107 |
| NPI Number | 1326619172 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326619172 | NPI | - | NPPES |
| 87-148431 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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