Organization
CAROLINA CASTANEDA DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINA CASTANEDA DDS (PRESIDENT)
(323) 780-0223
Entity
Organization
Contact information
Practice address
4560 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90022-1117
(323) 780-0223
(323) 780-0494
Mailing address
4560 CESAR E CHAVEZ AVE, LOS ANGELES, CA 90022
(323) 780-0223
(323) 780-0494
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
B35852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770625337
MEDICAL
CA
Enumeration date
02/08/2008
Last updated
02/08/2008
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