| California Dental Specialties | |
|
1111 W 6th St #102 Los Angeles CA 90017-1800 | |
| (562) 424-6200 | |
| (562) 424-9807 |
| Full Name | California Dental Specialties |
|---|---|
| Speciality | Dentist |
| Location | 1111 W 6th St, Los Angeles, California |
| Authorized Official Name and Position | Matthew Tsai (CEO) |
| Authorized Official Contact | 5629815002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Dental Specialties Po Box 93122 Long Beach CA 90809-3122 Ph: (562) 424-6200 | California Dental Specialties 1111 W 6th St #102 Los Angeles CA 90017-1800 Ph: (562) 424-6200 |
| NPI Number | 1790065761 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 08/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790065761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41564 (California) | Primary |
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