| Cellars Dental Corporation | |
|
5114 Venice Blvd Los Angeles CA 90019-5229 | |
| (831) 747-0636 | |
| Not Available |
| Full Name | Cellars Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5114 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Lyne Farrington (MANAGER) |
| Authorized Official Contact | 8317470636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cellars Dental Corporation 5114 Venice Blvd Los Angeles CA 90019-5229 Ph: (831) 747-0636 | Cellars Dental Corporation 5114 Venice Blvd Los Angeles CA 90019-5229 Ph: (831) 747-0636 |
| NPI Number | 1427838911 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427838911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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