Organization
CENTINELA JOSEPH DENTAL GROUP
Active
Parent organization
TILDEN BAY JOSEPH DENTAL GROUP
Other names
EZ Dental and Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
TILDEN BAY JOSEPH DENTAL GROUP
Authorized official
JOESPH AZIZI (PRESIDENT/OWNER)
(310) 466-9571
Entity
Organization
Contact information
Practice address
6907 LA TIJERA BLVD, LOS ANGELES, CA 90045-1906
(310) 645-0336
(310) 645-9250
Mailing address
2934 1/2 BEVERLY GLEN CIRCLE #451, 451, LOS ANGELES, CA 90077-1724
(310) 695-1589
(818) 782-0402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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