| Floyd Cawthon Dental Corporation | |
|
8635 W. 3rd Street Suite 255-w Los Angeles CA 90048-6113 | |
| (310) 659-5430 | |
| Not Available |
| Full Name | Floyd Cawthon Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8635 W. 3rd Street, Los Angeles, California |
| Authorized Official Name and Position | Floyd Jesse Cawthon (PRESIDENT) |
| Authorized Official Contact | 3106595430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Floyd Cawthon Dental Corporation 4924 Balboa Blvd #223 Encino CA 91316-3402 Ph: (310) 659-5430 | Floyd Cawthon Dental Corporation 8635 W. 3rd Street Suite 255-w Los Angeles CA 90048-6113 Ph: (310) 659-5430 |
| NPI Number | 1497977904 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497977904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DG32043 (California) | Primary |
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