Bajo Dmd & Liwanag Dmd INC
Clinic/Center, Dental in Carson, CA. Organization (NPI-2).
NPI number1790798684
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790798684
- Entity type
- Organization (NPI-2)
- Legal business name
- Bajo Dmd & Liwanag Dmd INC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 38027 | CA | Yes |
| 261QD0000X | Clinic/Center, Dental | 38963 | CA |
Other names
- Carson Family Dental Office (Doing Business As)
Practice location
144 West Carson StCarson, CA 90745
Phone 310-835-4088 · Fax 310-835-8488
Mailing address
144 West Carson StCarson, CA 90745
Phone 310-835-4088 · Fax 310-835-8488
Authorized official
Elenita B Liwanag
Dr Vp
3108357088
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