| J. Whitley Dental Corporation | |
|
12156 Lakewood Blvd Downey CA 90242-2658 | |
| (562) 803-1600 | |
| Not Available |
| Full Name | J. Whitley Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12156 Lakewood Blvd, Downey, California |
| Authorized Official Name and Position | Brandy Hoffman (CREDENTIAL ASSISTANT) |
| Authorized Official Contact | 6787565921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Whitley Dental Corporation 12156 Lakewood Blvd Downey CA 90242-2658 Ph: (562) 803-1600 | J. Whitley Dental Corporation 12156 Lakewood Blvd Downey CA 90242-2658 Ph: (562) 803-1600 |
| NPI Number | 1013218106 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013218106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20487 (California) | Primary |
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