Organization
HAKIMZADEH AND REYHANI DENTAL OFFICE OF PICO LAWNDALE INC
Active
Other names
Lawndale Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA NAPOLES (AUDITOR)
(562) 688-3852
Entity
Organization
Contact information
Practice address
15228 HAWTHORNE BLVD STE A, LAWNDALE, CA 90260-2268
(310) 220-0456
(562) 381-8187
Mailing address
15228 HAWTHORNE BLVD STE A, LAWNDALE, CA 90260-2268
(310) 220-0456
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
01/30/2023
Last updated
01/30/2023
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