Crenshaw Dental Group

NPI 1083735278 - Dentist - 1223G0001X

NPI Details
NPI 1083735278
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MOEIZ MOEIZ
Position DENTIST
Phone (323) 290-2212
Fax (323) 290-1061
Practice Location
3756 SANTA ROSALIA DR
SUITE 517
LOS ANGELES CA, 90008-3606, US
Phone (323) 290-2212
Fax (323) 290-1061
Business Location
3756 SANTA ROSALIA DR
SUITE 517
LOS ANGELES CA, 90008-3606, US
Phone (323) 290-2212
Fax (323) 290-1061
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 44505
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According to our database, Crenshaw Dental Group NPI is 1083735278, taxonomy code is 1223G0001X and license number is 44505, license state is located at California. Crenshaw Dental Group physically located at 3756 Santa Rosalia Dr, Los Angeles CA, 90008-3606. NPI Number 1033115704 has the healthcare provider type.

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1083735278 NPI number is provided on an as is basis without warranty of any kind. 1083735278 is maintained by the National Plan & Provider Enumeration System. The contents of Crenshaw Dental Group are for informational purposes only.