| NPI | 1922116730 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | SANTOS CORTEZ Presdent/CEO 562-377-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 25498) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 31525) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 49395) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 49395) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |