Organization
TASKER & ROWAN WILSHIRE DENTAL CORPORATION
Active
Other names
Beverly Hills Pediatric Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEN SASO (EXECUTIVE MANAGER)
(916) 479-3432
Entity
Organization
Contact information
Practice address
8920 WILSHIRE BLVD STE 427, BEVERLY HILLS, CA 90211-2004
(916) 479-3432
Mailing address
PO BOX 961, ELK GROVE, CA 95759-0961
(916) 479-3432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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