Organization · NPI-2

21 Century Dental & Sleep Center

Public Health or Welfare · Los Angeles, CA

NPI number1508221292
StatusActive
Last updated in NPPESDec 22, 2015

Details

NPI
1508221292
Entity type
Organization (NPI-2)
Legal business name
21 Century Dental & Sleep Center
Organization subpart
No
Enumeration date
Dec 22, 2015
Last updated
Dec 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251K00000X Public Health or Welfare29645CAYes

Practice location

5217 Hollywood Blvd Apt 316
Los Angeles, CA 90027-4964

Phone 817-805-2262

Mailing address

5217 Hollywood Blvd Apt 316
Los Angeles, CA 90027-4964

Phone 817-805-2262

Authorized official

Lisa Barrera
Office Manager
9722553712

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Public Health or Welfare providers in Los Angeles, CA