| San Remo Dental | |
|
15122 Paramount Blvd Paramount CA 90723-4337 | |
| (562) 630-2222 | |
| (562) 630-4690 |
| Full Name | San Remo Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15122 Paramount Blvd, Paramount, California |
| Authorized Official Name and Position | Michael J Lugtu (PRESIDENT) |
| Authorized Official Contact | 5626302222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Remo Dental 15122 Paramount Blvd Paramount CA 90723-4337 Ph: (562) 630-2222 | San Remo Dental 15122 Paramount Blvd Paramount CA 90723-4337 Ph: (562) 630-2222 |
| NPI Number | 1447390711 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447390711 | NPI | - | NPPES |
| G-92283-01 | Other | CA | DENTAL OFFICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42851 (California) | Primary |
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