Organization
DR. CAMPBELL'S CENTURY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STUART CARLOS D.D.S. (C.E.O.)
(626) 585-9544
Entity
Organization
Contact information
Practice address
10842 WASHINGTON BLVD, CULVER CITY, CA 90232-3610
(310) 559-2935
(310) 559-0859
Mailing address
1955 LAKE AVE, ALTADENA, CA 91001-3037
(626) 585-9544
(626) 449-4932
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
10/14/2015
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