Organization
PHYLLIS K. KAWADA, DDS, MS, A PROFESSIONAL CORPORATION
Active
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
15944 LOS SERRANOS COUNTRY CLUB DR STE 100, CHINO HILLS, CA 91709-3254
(909) 393-3311
(909) 393-3343
Mailing address
15944 LOS SERRANOS COUNTRY CLUB DR STE 100, CHINO HILLS, CA 91709-3254
(909) 393-3311
(909) 393-3343
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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