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Organization
GUERGUIS PROFESSIONAL DENTAL, INC.
Active
Organization
GUERGUIS PROFESSIONAL DENTAL, INC.
Active
Other names
Bloomfield Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IHAAB WADIE GUERGUIS DDS (PRESIDENT)
(562) 926-6502
Entity
Organization
Contact information
Practice address
12657 166TH ST, CERRITOS, CA 90703-2101
(562) 926-6502
Mailing address
12657 166TH ST, CERRITOS, CA 90703-2101
(562) 926-6502
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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