Organization
RENATA CARVALHO DA FONSECA DDS., A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATA CARVALHO DA FONSECA DDS (PRESIDENT)
(310) 463-3294
Entity
Organization
Contact information
Practice address
23101 SHERMAN PL STE 201, WEST HILLS, CA 91307-2019
(818) 716-8424
Mailing address
578 WASHINGTON BLVD UNIT 523, MARINA DEL REY, CA 90292-5421
(310) 463-3294
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up