| Starlight Dental Group | |
|
214 N Central Ave Glendale CA 91203-3556 | |
| (818) 243-8888 | |
| (818) 243-8808 |
| Full Name | Starlight Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 214 N Central Ave, Glendale, California |
| Authorized Official Name and Position | Payam Sooferi (DENTIST/CEO) |
| Authorized Official Contact | 8182438888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Dental Group 214 N Central Ave Glendale CA 91203-3556 Ph: (818) 243-8888 | Starlight Dental Group 214 N Central Ave Glendale CA 91203-3556 Ph: (818) 243-8888 |
| NPI Number | 1003050659 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003050659 | NPI | - | NPPES |
| 434731 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54604 (California) | Primary |
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