| Santa Fe Springs Modern Dentistry, Inc | |
|
13327 Florence Ave Santa Fe Springs CA 90670 | |
| (562) 232-4715 | |
| Not Available |
| Full Name | Santa Fe Springs Modern Dentistry, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13327 Florence Ave, Santa Fe Springs, California |
| Authorized Official Name and Position | Shady Kerolles (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Springs Modern Dentistry, Inc Po Box 660041 Dallas TX 75266-0041 Ph: () - | Santa Fe Springs Modern Dentistry, Inc 13327 Florence Ave Santa Fe Springs CA 90670 Ph: (562) 232-4715 |
| NPI Number | 1356149009 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 03/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356149009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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