Southwest Dental Group

LBN: Southwest Dental Group
Southwest Dental Group is an health care organization with primary practice located at 1502 So La Brucherie Rd. , El Centro CA 92243. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Southwest Dental Group can be contacted via phone (760) 482-5505, or through Aghaloo, Javad via phone (760) 482-5505.

Contact Information

Primary practice address
1502 So La Brucherie Rd. El Centro CA 92243
Phone: (760) 482-5505
Fax: (760) 482-5501
Website:
Map and Directions
Authorized official contact:
Name: Aghaloo, Javad
Phone: (760) 482-5505

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 37992 California
Dental Providers / General Practice 1223G0001X 51184 California

Profile Details

NPI number 1134376551
LBN Legal business name Southwest Dental Group
DBA Doing business as
Authorized official Aghaloo, Javad
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2008
Last updated Mar 29th, 2010 - about 15 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 1134376551 NPPES
Other 719949 UNITED CONCORDIA
Other B37992-01 UNITED CONCORDIA

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