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Organization

CHILDRENS HAPPY TEETH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BABAK YOUSEFI DDS, MS (ORTHODONTIST)
(562) 944-8408
Entity
Organization

Contact information

Practice address
12271 LA MIRADA BLVD, SUITE 202, LA MIRADA, CA 90638-1336
(562) 944-8408
(562) 944-4290
Mailing address
12271 LA MIRADA BLVD, SUITE 202, LA MIRADA, CA 90638-1336
(562) 944-8408
(562) 944-4290

Taxonomy

Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
49464
CA

Other

Enumeration date
03/14/2013
Last updated
03/14/2013
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