Organization
BASHAR KOMOC DDS, INC.
Active
Other names
American Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR KOMOC DDS (PRESIDENT)
(562) 986-5570
Entity
Organization
Contact information
Practice address
3318 E ANAHEIM ST, LONG BEACH, CA 90804-4025
(562) 986-5570
(562) 986-9791
Mailing address
3318 E ANAHEIM ST, LONG BEACH, CA 90804-4025
(562) 986-5570
(562) 986-9791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42317
CA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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