Kids Dental Kare | |
4900 Whittier Blvd Los Angeles CA 90022-3115 | |
(323) 780-0009 | |
(323) 780-9744 |
Full Name | Kids Dental Kare |
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Speciality | Dentist - General Practice |
Location | 4900 Whittier Blvd, Los Angeles, California |
Authorized Official Name and Position | Jerry Lee Lanier (PRESIDENT) |
Authorized Official Contact | 3237800009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Dental Kare 4900 Whittier Blvd Los Angeles CA 90022-3115 Ph: (323) 780-0009 | Kids Dental Kare 4900 Whittier Blvd Los Angeles CA 90022-3115 Ph: (323) 780-0009 |
NPI Number | 1982738803 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 07/10/2008 |
Identifier | Type | State | Issuer |
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1982738803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 40088 (California) | Primary |
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