Individual
DR. JOSE CARLOS DAUDT POLIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4650 W SUNSET BLVD, MS# 116, LOS ANGELES, CA 90027-6062
(323) 361-2130
(323) 361-1090
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-4116
(323) 361-1090
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
39870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D39870
—
CA
Enumeration date
10/05/2006
Last updated
03/18/2013
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