NPI Provider: 1740392216
Contact Name: Lugo L Dave
Position: Director of Operations
Phone: (310) 419-3000
The Children’s Dental Center Information:
The Children’s Dental Center organization have npi 1740392216, taxonomy code is 1223D0001X with license number is 19972 in . This Business address located in 300 E Buckthorn St, Inglewood, CA 90301 California.
Practice Location
Address: 300 E Buckthorn St, Inglewood, CA 90301
Phone: (310) 419-3000
Business Location
Address: 300 E Buckthorn St, Inglewood, CA 90301
Phone: (310) 419-3000
Fax: (310) 677-3087
Taxonomy
Taxonomy Code: 1223D0001X
License Number: 19972
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 8/31/2006
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