Organization
HAKIMZADEH & REYHANI DENTAL OFFICE OF CERRITOS. INC.
Active
Other names
Cerritos Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA NAPOLES (AUDITOR)
(562) 688-3852
Entity
Organization
Contact information
Practice address
20106 PIONEER BLVD STE A&B, CERRITOS, CA 90703-7400
(562) 474-1221
(562) 381-8187
Mailing address
20106 PIONEER BLVD STE A&B, CERRITOS, CA 90703-7400
(562) 474-1221
(562) 381-8187
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376790907
DENTAL OFFICE
CA
Enumeration date
04/26/2021
Last updated
04/28/2021
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