Organization
ONWUEGBUSI AND VAN HOUTEN DENTAL PARTNERSHIP
Active
Other names
Bayview Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERA VAN HOUTEN DDS (PARTNER)
(310) 775-0645
Entity
Organization
Contact information
Practice address
500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
(310) 683-5576
(310) 683-4648
Mailing address
500 S SEPULVEDA BLVD STE 301, MANHATTAN BEACH, CA 90266-6976
(310) 683-5576
(310) 683-4648
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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