Organization
DANIEL SUR DDS, INC.
Active
Other names
KIDS DENTAL LAND
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SUR (CEO)
(661) 607-8515
Entity
Organization
Contact information
Practice address
4749 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90022-1209
(323) 268-2881
(323) 268-2181
Mailing address
4749 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90022-1209
(323) 268-2881
(323) 268-2181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51139
CA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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