Organization
DAVID CEDENO MD DDS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANN BOONNARAGORN (OFFICE MANAGER)
(213) 270-3235
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 1510, LOS ANGELES, CA 90017-4006
(213) 977-0943
(213) 977-0139
Mailing address
1127 WILSHIRE BLVD STE 1510, LOS ANGELES, CA 90017-4006
(213) 977-0943
(213) 977-0139
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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