| Easy And Affordable Kids Dental Care | |
|
3800 W El Segundo Blvd Suite 203 Hawthorne CA 90250-4677 | |
| (310) 679-0687 | |
| Not Available |
| Full Name | Easy And Affordable Kids Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3800 W El Segundo Blvd, Hawthorne, California |
| Authorized Official Name and Position | Charles L Foster (DENTIST) |
| Authorized Official Contact | 2486356449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easy And Affordable Kids Dental Care 3800 W El Segundo Blvd Suite 203 Hawthorne CA 90250-4677 Ph: (310) 679-0687 | Easy And Affordable Kids Dental Care 3800 W El Segundo Blvd Suite 203 Hawthorne CA 90250-4677 Ph: (310) 679-0687 |
| NPI Number | 1821324997 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 10/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821324997 | NPI | - | NPPES |
| B53412 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53412 (California) | Primary |
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