| Childrens Dentistry | |
|
345 E Manchester Blvd Inglewood CA 90301-1814 | |
| (310) 672-7822 | |
| (310) 330-3722 |
| Full Name | Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 345 E Manchester Blvd, Inglewood, California |
| Authorized Official Name and Position | Percy Mills (MANAGER) |
| Authorized Official Contact | 3106727822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dentistry 345 E Manchester Blvd Inglewood CA 90301-1814 Ph: (310) 672-7822 | Childrens Dentistry 345 E Manchester Blvd Inglewood CA 90301-1814 Ph: (310) 672-7822 |
| NPI Number | 1902148927 |
|---|---|
| Provider Enumeration Date | 03/18/2013 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902148927 | NPI | - | NPPES |
| D29015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 29015 (California) | Primary |
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