| Westside Pediatric Dental Group | |
|
1243 7th St Santa Monica CA 90401-1600 | |
| (310) 451-5748 | |
| Not Available |
| Full Name | Westside Pediatric Dental Group |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1243 7th St, Santa Monica, California |
| Authorized Official Name and Position | Emmanuel Bernard Gross (PARTNER) |
| Authorized Official Contact | 3104515748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Pediatric Dental Group 1243 7th St Santa Monica CA 90401-1600 Ph: (310) 451-5748 | Westside Pediatric Dental Group 1243 7th St Santa Monica CA 90401-1600 Ph: (310) 451-5748 |
| NPI Number | 1871871707 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871871707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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