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Organization
IMPERIAL DENTAL CENTER CORP.
Active
Organization
IMPERIAL DENTAL CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA RAMOS (OFFICE MANAGER)
(323) 756-1463
Entity
Organization
Contact information
Practice address
11254 CRENSHAW BLVD, INGLEWOOD, CA 90303-2805
(323) 756-1463
Mailing address
11254 CRENSHAW BLVD, INGLEWOOD, CA 90303-2805
(323) 756-1463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34335
CA
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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