| Childrens Dental Group-eagle Rock | |
|
2700 Colorado Blvd Suite 263 Los Angeles CA 90041-1081 | |
| (323) 987-2175 | |
| (323) 543-4247 |
| Full Name | Childrens Dental Group-eagle Rock |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2700 Colorado Blvd, Los Angeles, California |
| Authorized Official Name and Position | Corina Ramirez (OWNER) |
| Authorized Official Contact | 3239872175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Group-eagle Rock 4444 Tweedy Blvd South Gate CA 90280-6304 Ph: (323) 564-2444 | Childrens Dental Group-eagle Rock 2700 Colorado Blvd Suite 263 Los Angeles CA 90041-1081 Ph: (323) 987-2175 |
| NPI Number | 1316211808 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316211808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 52676 (California) | Primary |
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