| Maxwell Dental Corporation | |
|
6828 La Tijera Blvd Los Angeles CA 90045-1905 | |
| (310) 216-0971 | |
| (310) 216-1530 |
| Full Name | Maxwell Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6828 La Tijera Blvd, Los Angeles, California |
| Authorized Official Name and Position | Frandsen Dorsey Maxwell (CEO,PRESIDENT,DENTIST) |
| Authorized Official Contact | 3102160971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Dental Corporation 6828 La Tijera Blvd Los Angeles CA 90045-1905 Ph: (310) 216-0971 | Maxwell Dental Corporation 6828 La Tijera Blvd Los Angeles CA 90045-1905 Ph: (310) 216-0971 |
| NPI Number | 1538389069 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538389069 | NPI | - | NPPES |
| B03594401 | Other | CA | DENTI-CAL |
| 662491 | Other | CA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 35944 (California) | Primary |
Zacoalco Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Florence Avenue, Los Angeles, CA 90001 Phone: 323-277-8110 Fax: 323-277-8114 | |
Khashayar Khodadadi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11900 S. Avalon Blvd., Suite 101, Los Angeles, CA 90061 Phone: 323-834-0100 Fax: 323-834-0101 | |
Baum Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10921 Wilshire Blvd., Suite #804, Los Angeles, CA 90024 Phone: 310-208-5678 Fax: 310-208-1968 | |
Monterey Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5906 Monterey Rd, Los Angeles, CA 90042 Phone: 323-256-2680 Fax: 323-341-5668 | |
David Cedeno Md Dds Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017 Phone: 213-977-0943 Fax: 213-977-0139 | |
James C. Castelo, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Santa Monica Blvd Ste 210, Los Angeles, CA 90029 Phone: 323-666-3852 | |
Lau Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd, Suite #1608, Los Angeles, CA 90017 Phone: 213-481-1100 Fax: 213-481-0998 |