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Organization
JELANI E. WINSLOW DMD INC
Active
Organization
JELANI E. WINSLOW DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JELANI E WINSLOW DMD (TIN OWNER)
(310) 491-8877
Entity
Organization
Contact information
Practice address
1900 W WHITTIER BLVD, MONTEBELLO, CA 90640-4009
(323) 721-7153
Mailing address
1900 W WHITTIER BLVD, MONTEBELLO, CA 90640-4009
(323) 721-7153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56557
DENTAL LICENSE
CA
Enumeration date
08/19/2019
Last updated
08/19/2019
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