Organization
CHERYL D BINGHAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL DIANE BINGHAM DDS (PRESIDENT/ SECRETARY)
(323) 564-7504
Entity
Organization
Contact information
Practice address
11905 S CENTRAL AVE, 203, LOS ANGELES, CA 90059-2897
(323) 564-7504
(323) 564-8645
Mailing address
11905 S CENTRAL AVE, 203, LOS ANGELES, CA 90059-2897
(323) 564-7504
(323) 564-8645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34818
DENTICAL
CA
Enumeration date
02/24/2012
Last updated
02/24/2012
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