# 4D MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COSMO DENTAL SPECIALISTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407249204
- **Authorized official:** MRS. VIVIAN PHAM (MANAGER)
- **Authorized official phone:** (714) 590-2210

## Contact information

- **Practice address:** 9202 VALLEY BLVD, ROSEMEAD, CA 91770-1900
- **Practice address phone:** (626) 288-6050
- **Mailing address:** 16562 REDWOOD CIR, FOUNTAIN VALLEY, CA 92708-2320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | CA | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | CA | — |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 03/18/2015