| Teresa Gonzalez Reder Dds, Inc. | |
|
4740 Inglewood Blvd Culver City CA 90230-5824 | |
| (310) 313-1063 | |
| (310) 437-5200 |
| Full Name | Teresa Gonzalez Reder Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4740 Inglewood Blvd, Culver City, California |
| Authorized Official Name and Position | Teresa Gonzalez Reder (PRESIDENT) |
| Authorized Official Contact | 3103131063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Gonzalez Reder Dds, Inc. 4740 Inglewood Blvd Culver City CA 90230-5824 Ph: (310) 313-1063 | Teresa Gonzalez Reder Dds, Inc. 4740 Inglewood Blvd Culver City CA 90230-5824 Ph: (310) 313-1063 |
| NPI Number | 1134325434 |
|---|---|
| Provider Enumeration Date | 06/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134325434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46423 (California) | Primary |
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