| Sola Kids Dental | |
|
5971 S Main Street Los Angeles CA 90003 | |
| (323) 325-5641 | |
| Not Available |
| Full Name | Sola Kids Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5971 S Main Street, Los Angeles, California |
| Authorized Official Name and Position | Laura Banty (PRESIDENT) |
| Authorized Official Contact | 8435574335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sola Kids Dental 387 W Channel Rd Santa Monica CA 90402-1107 Ph: (843) 557-4335 | Sola Kids Dental 5971 S Main Street Los Angeles CA 90003 Ph: (323) 325-5641 |
| NPI Number | 1720567548 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 09/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720567548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DDS100420 (California) | Primary |
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