Farwest Dental Group

NPI 1750700134 - Clinic/Center - 261QD0000X

NPI Details
NPI 1750700134
Enumeration Date 04/14/2014
Last Updated 04/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ANAS ANAS
Position DENTIST/OWNER
Phone (323) 758-6768
Fax
Practice Location
8880 S BROADWAY
LOS ANGELES CA, 90003-3635, US
Phone (323) 758-6768
Fax
Business Location
8880 S BROADWAY
LOS ANGELES CA, 90003-3635, US
Phone (323) 758-6768
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State California
License Number 50718
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According to our database, Farwest Dental Group NPI is 1750700134, taxonomy code is 261QD0000X and license number is 50718, license state is located at California. Farwest Dental Group physically located at 8880 S Broadway, Los Angeles CA, 90003-3635. NPI Number 1033115704 has the healthcare provider type.

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1750700134 NPI number is provided on an as is basis without warranty of any kind. 1750700134 is maintained by the National Plan & Provider Enumeration System. The contents of Farwest Dental Group are for informational purposes only.