| Cb Orthodontics Dental Practice | |
|
20930 Bonita St Suite X Carson CA 90746-3680 | |
| (310) 523-2161 | |
| Not Available |
| Full Name | Cb Orthodontics Dental Practice |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 20930 Bonita St, Carson, California |
| Authorized Official Name and Position | Cappie Baker (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 3105232161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cb Orthodontics Dental Practice 20930 Bonita St Suite X Carson CA 90746-3680 Ph: (310) 523-2161 | Cb Orthodontics Dental Practice 20930 Bonita St Suite X Carson CA 90746-3680 Ph: (310) 523-2161 |
| NPI Number | 1477702934 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477702934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | B32531 (California) | Primary |
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