Individual
DR. TERA LYNN VAN HOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1235 W HUNTINGTON DR STE A, ARCADIA, CA 91007-6382
(626) 449-8963
(626) 449-5716
Mailing address
224 43RD ST # A, MANHATTAN BEACH, CA 90266-3009
(310) 775-0645
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57987
CA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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