# CHILDRENS HAPPY TEETH

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

## Provider details

- **NPI number:** 1295076321
- **Authorized official:** MR. BABAK YOUSEFI DDS, MS (ORTHODONTIST)
- **Authorized official phone:** (562) 944-8408

## Contact information

- **Practice address:** 12271 LA MIRADA BLVD, SUITE 202, LA MIRADA, CA 90638-1336
- **Practice address phone:** (562) 944-8408
- **Practice address fax:** (562) 944-4290
- **Mailing address:** 12271 LA MIRADA BLVD, SUITE 202, LA MIRADA, CA 90638-1336
- **Mailing address phone:** (562) 944-8408
- **Mailing address fax:** (562) 944-4290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | 49464 | CA | Yes |

## Other

- **Enumeration date:** 03/14/2013
- **Last updated:** 03/14/2013
