| Birdseye Dentistry | |
|
5535 Hollywood Blvd Los Angeles CA 90028-6807 | |
| (626) 488-3712 | |
| Not Available |
| Full Name | Birdseye Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5535 Hollywood Blvd, Los Angeles, California |
| Authorized Official Name and Position | Millie Chung (PRESIDENT) |
| Authorized Official Contact | 6264883712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birdseye Dentistry 5321 1/4 Dockweiler Pl Los Angeles CA 90019-2623 Ph: (626) 488-3712 | Birdseye Dentistry 5535 Hollywood Blvd Los Angeles CA 90028-6807 Ph: (626) 488-3712 |
| NPI Number | 1982009908 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982009908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60224 (California) | Primary |
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