Organization · NPI-2

4d Management INC

Dentist, Prosthodontics · Rosemead, CA

NPI number1407249204
StatusActive
Last updated in NPPESMar 18, 2015

Details

NPI
1407249204
Entity type
Organization (NPI-2)
Legal business name
4d Management INC
Organization subpart
No
Enumeration date
Mar 18, 2015
Last updated
Mar 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0700X Dentist, Prosthodontics–CAYes
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics–CA

Other names

  • Cosmo Dental Specialists (Doing Business As)

Practice location

9202 Valley Blvd
Rosemead, CA 91770-1900

Phone 626-288-6050

Mailing address

16562 Redwood Cir
Fountain Valley, CA 92708-2320

Authorized official

Vivian Pham
Manager
7145902210

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