Southwest Dental Group
NPI #1134376551 in El Centro, California
Provider Information
- NPI Number
- 1134376551
- Entity Type
- Organization
- Organization Name
- Southwest Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 27, 2008
- Last Updated
- Mar 29, 2010
Practice Location
- Address
- 1502 SO LA BRUCHERIE RD.
- City
- El Centro
- State
- California
- ZIP Code
- 92243
- Phone
- (760) 482-5505
Authorized Official
- Name
- MR. JAVAD AGHALOO
- Title
- BUSINESS OWNER
- Phone
- (760) 482-5505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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