# JOHN BILDER FUND BILLINGSWORTH LAB

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL
- **Other names:** john bilder
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639588205
- **Legal business name:** DENTAL
- **Authorized official:** DR. KAREN SUE S CROUSE DDS (DNA LAB BURN UNIT CREMATION)
- **Authorized official phone:** (562) 536-6391

## Contact information

- **Practice address:** 7202 GREENLEAF AVE, 13303 PHILADELPHIA ST, WHITTIER, CA 90602-1312
- **Practice address phone:** (562) 536-6391
- **Mailing address:** 7202 GREENLEAF AVE, 13303 PHILADELPHIA ST, WHITTIER, CA 90602-1312
- **Mailing address phone:** (562) 536-6391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | 004885460 | SC | Yes |

## Other

- **Enumeration date:** 08/08/2014
- **Last updated:** 08/08/2014