MATARIA DENTAL GROUP PC NPI 1376202176

NPI Information

NPI: 1376202176
Provider Name: MATARIA DENTAL GROUP PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3610 LOMITA BLVD STE 202
TORRANCE, CA
ZIP 90505
Phone: (310) 465-0565
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MATARIA DENTAL GROUP PC is a dental clinic center in Torrance, CA. MATARIA DENTAL GROUP PC NPI is 1376202176. The provider is registered as an organization entity type.

The provider's business location address is:

3610 LOMITA BLVD STE 202
TORRANCE, CA
ZIP 90505-919
Phone: (310) 465-0565

The provider's authorized official is Ahmed Mataria .
The authorized official title is Owner and has the following contact phone number (310) 465-0565.

The enumeration date for this NPI number is 12/9/2021 and was last updated on 12/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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