Organization
FLOYD CAWTHON DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOYD JESSE CAWTHON III D.D.S. (PRESIDENT)
(310) 659-5430
Entity
Organization
Contact information
Practice address
8635 W. 3RD STREET, SUITE 255-W, LOS ANGELES, CA 90048-6113
(310) 659-5430
Mailing address
4924 BALBOA BLVD, #223, ENCINO, CA 91316-3402
(310) 659-5430
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DG32043
CA
Other
Enumeration date
05/03/2007
Last updated
01/16/2009
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