Organization
CELLARS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNE FARRINGTON (MANAGER)
(831) 747-0636
Entity
Organization
Contact information
Practice address
5114 VENICE BLVD, LOS ANGELES, CA 90019-5229
(831) 747-0636
Mailing address
5114 VENICE BLVD, LOS ANGELES, CA 90019-5229
(831) 747-0636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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