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Organization
SOUTHWEST DENTAL CENTER INC.
Active
Organization
SOUTHWEST DENTAL CENTER INC.
Active
Other names
HI-DESERT DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONEED GORDON DDS (PRESIDENT CEO)
(661) 273-1333
Entity
Organization
Contact information
Practice address
2205 E PALMDALE BLVD, PALMDALE, CA 93550-1316
(661) 273-1333
(661) 273-1687
Mailing address
2205 E PALMDALE BLVD, PALMDALE, CA 93550-1316
(661) 273-1333
(661) 273-1687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
32936
CA
1223G0001X
General Practice Dentistry
Primary
43266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32936
DENTIST
CA
01
—
43622
DENTIST
CA
Enumeration date
04/20/2007
Last updated
08/22/2020
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