Dominguez Hills Dental Group

NPI 1154722254 - Dentist - 1223G0001X

NPI Details
NPI 1154722254
Enumeration Date 09/08/2014
Last Updated 09/08/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ANTHONY ANTHONY
Position CHIEF EXECUTIVE OFFICER
Phone (310) 515-1490
Fax (310) 515-0032
Practice Location
20930 BONITA ST
SUITE T
CARSON CA, 90746-3680, US
Phone (310) 515-1490
Fax (310) 515-0032
Business Location
20930 BONITA ST
SUITE T
CARSON CA, 90746-3680, US
Phone (310) 515-1490
Fax (310) 515-0032
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 34086
Remove 1154722254 NPI Number
 

According to our database, Dominguez Hills Dental Group NPI is 1154722254, taxonomy code is 1223G0001X and license number is 34086, license state is located at California. Dominguez Hills Dental Group physically located at 20930 Bonita St, Carson CA, 90746-3680. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1154722254 NPI number is provided on an as is basis without warranty of any kind. 1154722254 is maintained by the National Plan & Provider Enumeration System. The contents of Dominguez Hills Dental Group are for informational purposes only.