| Kids Dental Place | |
|
2621 Zoe Ave Suite A Huntington Park CA 90255-4131 | |
| (818) 335-2100 | |
| Not Available |
| Full Name | Kids Dental Place |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2621 Zoe Ave, Huntington Park, California |
| Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193232362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Place 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (818) 335-2100 | Kids Dental Place 2621 Zoe Ave Suite A Huntington Park CA 90255-4131 Ph: (818) 335-2100 |
| NPI Number | 1811275670 |
|---|---|
| Provider Enumeration Date | 07/28/2011 |
| Last Update Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811275670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51044 (California) | Primary |
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