| Prairie Family Dental | |
|
3949 Artesia Blvd Torrance CA 90504-3210 | |
| (310) 303-3988 | |
| (310) 303-3919 |
| Full Name | Prairie Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 3949 Artesia Blvd, Torrance, California |
| Authorized Official Name and Position | Ludivina Luis Pagatpatan (PRESIDENT) |
| Authorized Official Contact | 3103033988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Family Dental 211 Pismo Dr Carson CA 90745-4740 Ph: (310) 952-0895 | Prairie Family Dental 3949 Artesia Blvd Torrance CA 90504-3210 Ph: (310) 303-3988 |
| NPI Number | 1194122358 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194122358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48162 (California) | Primary |
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