Organization
ARKADY TSIBEL DDS INC
Active
Other names
South Pasadena Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ARKADY TSIBEL (PRESIDENT)
(626) 325-0331
Entity
Organization
Contact information
Practice address
1140 FREMONT AVE, SOUTH PASADENA, CA 91030-5759
(626) 325-0331
Mailing address
1140 FREMONT AVE, SOUTH PASADENA, CA 91030-5759
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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