| Susan A Sheets Dds A Professional Dental Corporation | |
|
2515 S Western Ave Ste 109 San Pedro CA 90732-4643 | |
| (310) 832-2657 | |
| (310) 832-5164 |
| Full Name | Susan A Sheets Dds A Professional Dental Corporation |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2515 S Western Ave, San Pedro, California |
| Authorized Official Name and Position | Susan Sheets (OWNER) |
| Authorized Official Contact | 3108322657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Sheets Dds A Professional Dental Corporation 2515 S Western Ave Ste 109 San Pedro CA 90732-4643 Ph: (310) 832-2657 | Susan A Sheets Dds A Professional Dental Corporation 2515 S Western Ave Ste 109 San Pedro CA 90732-4643 Ph: (310) 832-2657 |
| NPI Number | 1922488352 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 06/01/2015 |
| Medicare PECOS PAC ID | 1456668805 |
|---|---|
| Medicare Enrollment ID | O20150916002991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922488352 | NPI | - | NPPES |
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