| Kids Dental Place | |
|
514 S Alvarado St Los Angeles CA 90057-2904 | |
| (213) 259-0606 | |
| Not Available |
| Full Name | Kids Dental Place |
|---|---|
| Speciality | Dentist |
| Location | 514 S Alvarado St, Los Angeles, California |
| Authorized Official Name and Position | Rebecca Misner (PRESIDENT) |
| 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: (719) 576-1850 | Kids Dental Place 514 S Alvarado St Los Angeles CA 90057-2904 Ph: (213) 259-0606 |
| NPI Number | 1407926132 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407926132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51044 (California) | Primary |
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