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Organization
HAMID IMANKHAN,DDS,INC.
Active
Organization
HAMID IMANKHAN,DDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID REZA IMANKHAN D.D.S. (PRESIDENT/ OWNER)
(323) 585-2777
Entity
Organization
Contact information
Practice address
2634 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4120
(323) 585-2777
(323) 582-2245
Mailing address
2634 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4120
(323) 585-2777
(323) 582-2245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144480096
DENTI-CAL
CA
Enumeration date
01/24/2014
Last updated
01/24/2014
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