Prairie Family Dentistry

NPI 1043273535 - Dentist - 1223G0001X

NPI Details
NPI 1043273535
Enumeration Date 04/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LUDIVINA LUIS LUDIVINA
Position OWNER
Phone (310) 303-3988
Fax (310) 303-3919
Practice Location
3949 ARTESIA BLVD
TORRANCE CA, 90504-3210, US
Phone (310) 303-3988
Fax (310) 303-3919
Business Location
3949 ARTESIA BLVD
TORRANCE CA, 90504-3210, US
Phone (310) 303-3988
Fax (310) 303-3919
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 48162
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According to our database, Prairie Family Dentistry NPI is 1043273535, taxonomy code is 1223G0001X and license number is 48162, license state is located at California. Prairie Family Dentistry physically located at 3949 Artesia Blvd, Torrance CA, 90504-3210. NPI Number 1033115704 has the healthcare provider type.

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1043273535 NPI number is provided on an as is basis without warranty of any kind. 1043273535 is maintained by the National Plan & Provider Enumeration System. The contents of Prairie Family Dentistry are for informational purposes only.