# PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Pediatric Dentistry Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437633872
- **Authorized official:** DR. PHYLLIS KAZUMI KAWADA DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (562) 690-3750

## Contact information

- **Practice address:** 731 N BEACH BLVD STE 120, LA HABRA, CA 90631-3690
- **Practice address phone:** (562) 226-1636
- **Mailing address:** 731 N BEACH BLVD STE 120, LA HABRA, CA 90631-3690
- **Mailing address phone:** (562) 690-3750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2018
- **Last updated:** 09/21/2018