Individual
EILEEN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12930 VENTURA BLVD STE 226, STUDIO CITY, CA 91604-2200
(818) 465-7545
Mailing address
11819 WOLF CREEK LN, PLAINFIELD, IL 60585-2607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64806
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
11/04/2022
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