Organization
4D MANAGEMENT INC
Active
Other names
COSMO DENTAL SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN PHAM (MANAGER)
(714) 590-2210
Entity
Organization
Contact information
Practice address
9202 VALLEY BLVD, ROSEMEAD, CA 91770-1900
(626) 288-6050
Mailing address
16562 REDWOOD CIR, FOUNTAIN VALLEY, CA 92708-2320
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
CA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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