| Ea Kids Dental Care | |
|
3800 W El Segundo Blvd Ste 203 Hawthorne CA 90250-4677 | |
| (310) 679-9531 | |
| (310) 679-9813 |
| Full Name | Ea Kids Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3800 W El Segundo Blvd, Hawthorne, California |
| Authorized Official Name and Position | Cecille Ho (CEO) |
| Authorized Official Contact | 3106790697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ea Kids Dental Care 3800 W El Segundo Blvd Ste 203 Hawthorne CA 90250-4677 Ph: (310) 679-9531 | Ea Kids Dental Care 3800 W El Segundo Blvd Ste 203 Hawthorne CA 90250-4677 Ph: (310) 679-9531 |
| NPI Number | 1992937890 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 08/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992937890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53706 (California) | Primary |
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