| NPI | 1760517213 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN BLAKE Dental Director 562-933-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: CA 960000039) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 960000039) |
| 1223G0001X Dentist, General Practice (Licence: CA 960000039) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 960000039) | |
| 1223P0300X Dentist, Periodontics (Licence: CA 960000039) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 960000039) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 960000039) | |
| 124Q00000X Dental Hygienist (Licence: CA 960000039) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |