| Misner Dmd Professional Dental Corp | |
|
4221 E Cesar E Chavez Ave Los Angeles CA 90063-3417 | |
| (323) 332-0201 | |
| Not Available |
| Full Name | Misner Dmd Professional Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4221 E Cesar E Chavez Ave, Los Angeles, California |
| Authorized Official Name and Position | Rebecca Misner (OWNER) |
| Authorized Official Contact | 7193232362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misner Dmd Professional Dental Corp 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: () - | Misner Dmd Professional Dental Corp 4221 E Cesar E Chavez Ave Los Angeles CA 90063-3417 Ph: (323) 332-0201 |
| NPI Number | 1669849360 |
|---|---|
| Provider Enumeration Date | 08/28/2015 |
| Last Update Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669849360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51044 (California) | Primary |
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