Organization
PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION
Active
Other names
Center for Pediatric Dentistry Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS KAZUMI KAWADA DDS (PRESIDENT/OWNER)
(562) 690-3750
Entity
Organization
Contact information
Practice address
731 N BEACH BLVD STE 120, LA HABRA, CA 90631-3690
(562) 226-1636
Mailing address
731 N BEACH BLVD STE 120, LA HABRA, CA 90631-3690
(562) 690-3750
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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