Organization
CERRITOS FAMILY DENAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEFA MELENDREZ (MANAGER)
(626) 330-6655
Entity
Organization
Contact information
Practice address
20106 S BLVD STE A & B, CERRITOS, CA 90701
(562) 474-1221
Mailing address
20106 PIONEER BLVD STE A&B, CERRITOS, CA 90703-7400
(562) 474-1221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
10/22/2019
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