| Keith C. Harada, D.d.s., Inc. | |
|
1717 W Beverly Blvd Suite D Montebello CA 90640-3971 | |
| (323) 726-1544 | |
| (323) 726-3091 |
| Full Name | Keith C. Harada, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1717 W Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | Keith Chitose Harada (PRESIDENT) |
| Authorized Official Contact | 3237261544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith C. Harada, D.d.s., Inc. 1717 W Beverly Blvd Suite D Montebello CA 90640-3971 Ph: (323) 726-1544 | Keith C. Harada, D.d.s., Inc. 1717 W Beverly Blvd Suite D Montebello CA 90640-3971 Ph: (323) 726-1544 |
| NPI Number | 1437133063 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437133063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19430 (California) | Primary |
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