| Lenise N. Yarber D.d.s , Professional Dental Corporation | |
|
5035 W Slauson Ave Ste G Los Angeles CA 90056-1647 | |
| (323) 296-0211 | |
| Not Available |
| Full Name | Lenise N. Yarber D.d.s , Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5035 W Slauson Ave Ste G, Los Angeles, California |
| Authorized Official Name and Position | Lenise N Yarber (CEO/DENTIST) |
| Authorized Official Contact | 3103277969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lenise N. Yarber D.d.s , Professional Dental Corporation 5035 W Slauson Ave Ste G Los Angeles CA 90056-1647 Ph: () - | Lenise N. Yarber D.d.s , Professional Dental Corporation 5035 W Slauson Ave Ste G Los Angeles CA 90056-1647 Ph: (323) 296-0211 |
| NPI Number | 1407487622 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407487622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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