| Carolina Castaneda Dds, Inc | |
|
4560 E Cesar E Chavez Ave Los Angeles CA 90022-1117 | |
| (323) 780-0223 | |
| (323) 780-0494 |
| Full Name | Carolina Castaneda Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4560 E Cesar E Chavez Ave, Los Angeles, California |
| Authorized Official Name and Position | Carolina Castaneda (PRESIDENT) |
| Authorized Official Contact | 3237800223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Castaneda Dds, Inc 4560 Cesar E Chavez Ave Los Angeles CA 90022 Ph: (323) 780-0223 | Carolina Castaneda Dds, Inc 4560 E Cesar E Chavez Ave Los Angeles CA 90022-1117 Ph: (323) 780-0223 |
| NPI Number | 1689852998 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689852998 | NPI | - | NPPES |
| 1770625337 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | B35852 (California) | Primary |
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