| Pasadena Childrens Dentistry | |
|
2620 E Colorado Blvd Pasadena CA 91107-3746 | |
| (626) 600-7171 | |
| Not Available |
| Full Name | Pasadena Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2620 E Colorado Blvd, Pasadena, California |
| Authorized Official Name and Position | Pallavi Kavety (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6308154230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Childrens Dentistry 231 S De Lacey Ave Unit 1005 Pasadena CA 91105-4100 Ph: (630) 815-4230 | Pasadena Childrens Dentistry 2620 E Colorado Blvd Pasadena CA 91107-3746 Ph: (626) 600-7171 |
| NPI Number | 1366935637 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366935637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 59445 (California) | Primary |
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