Specialty Dental Group

NPI #1386986362 in Long Beach, California

Provider Information

NPI Number: 1386986362
Entity Type: Organization
Organization Name: Specialty Dental Group
Primary Specialty: Dentist
Enumeration Date: Mar 18, 2013
Last Updated: Mar 18, 2013

Practice Location

Address: 1777 N BELLFLOWER BLVD STE 102
City: Long Beach
State: California
ZIP Code: 90815-4019
Phone: (909) 948-7211

Authorized Official

Name: JORGE OSORIO
Title: PARTNER
Phone: (909) 948-7213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist	122300000X	Primary

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