Individual
CARRIE LOEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
881 ALMA REAL DR STE 315, PACIFIC PALISADES, CA 90272-5059
(310) 459-3088
Mailing address
12021 WILSHIRE BLVD # 804, LOS ANGELES, CA 90025-1206
(310) 694-2902
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60736
CA
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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