| City Terrace Dental | |
|
2407 N Broadway Los Angeles CA 90031-2218 | |
| (323) 221-3165 | |
| Not Available |
| Full Name | City Terrace Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2407 N Broadway, Los Angeles, California |
| Authorized Official Name and Position | Aquileo Martinez (OWNER) |
| Authorized Official Contact | 3235281433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Terrace Dental 2407 N Broadway Los Angeles CA 90031-2218 Ph: (323) 221-3165 | City Terrace Dental 2407 N Broadway Los Angeles CA 90031-2218 Ph: (323) 221-3165 |
| NPI Number | 1801434196 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801434196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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