# DAVID CEDENO MD DDS PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003384579
- **Authorized official:** MISS DIANN BOONNARAGORN (OFFICE MANAGER)
- **Authorized official phone:** (213) 270-3235

## Contact information

- **Practice address:** 1127 WILSHIRE BLVD STE 1510, LOS ANGELES, CA 90017-4006
- **Practice address phone:** (213) 977-0943
- **Practice address fax:** (213) 977-0139
- **Mailing address:** 1127 WILSHIRE BLVD STE 1510, LOS ANGELES, CA 90017-4006
- **Mailing address phone:** (213) 977-0943
- **Mailing address fax:** (213) 977-0139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2018
- **Last updated:** 11/02/2018