Dentist Near Me Culver City

LBN: Dentist Near Me Culver City
Dentist Near Me Culver City is an health care organization with primary practice located at 4310 Overland Ave , Culver City CA 90230-4117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Dentist Near Me Culver City can be contacted via phone (310) 837-8087, or through Guirguis, Nicole via phone (310) 837-8087.

Contact Information

Primary practice address
4310 Overland Ave Culver City CA 90230-4117
Fax:
Website:
Authorized official contact:
Name: Guirguis, Nicole Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1124711007
LBN Legal business name Dentist Near Me Culver City
DBA Doing business as
Authorized official Guirguis, Nicole Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2023
Last updated May 29th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124711007 NPPES
California MEDICAID 1083135933

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