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Individual

DR. CHERYL DIANE BINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
11905 S CENTRAL AVE, #203, LOS ANGELES, CA 90059-2836
(323) 564-7504
(323) 564-8645
Mailing address
11905 S CENTRAL AVE, #203, LOS ANGELES, CA 90059-2836
(323) 564-7504
(323) 564-8645

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034818
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B34818
CA
Enumeration date
03/07/2006
Last updated
04/11/2012
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