Organization
CHAUX & GOMEZ DDS INC
Active
Other names
Good Neighbor Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANETH LUCIA CHAUX DDS (DENTIST/OWNER)
(310) 644-0437
Entity
Organization
Contact information
Practice address
13637 HAWTHORNE BLVD, SUITE 101, HAWTHORNE, CA 90250-5812
(310) 644-0437
(310) 644-0937
Mailing address
13637 HAWTHORNE BLVD, SUITE 101, HAWTHORNE, CA 90250-5812
(310) 644-0437
(310) 644-0937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124239595
MEDI-CAL
CA
Enumeration date
11/07/2016
Last updated
11/07/2016
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