| Cecil B Smith D.d.s. Inc. | |
|
101 N La Brea Ave Ste 402 Inglewood CA 90301-1791 | |
| (310) 677-1565 | |
| (310) 677-7095 |
| Full Name | Cecil B Smith D.d.s. Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 N La Brea Ave Ste 402, Inglewood, California |
| Authorized Official Name and Position | Tamera Joyce Rivers (OFFICE MANAGER) |
| Authorized Official Contact | 3106771565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cecil B Smith D.d.s. Inc. 101 N La Brea Ave Ste 402 Inglewood CA 90301-1791 Ph: (310) 677-1565 | Cecil B Smith D.d.s. Inc. 101 N La Brea Ave Ste 402 Inglewood CA 90301-1791 Ph: (310) 677-1565 |
| NPI Number | 1770779852 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770779852 | NPI | - | NPPES |
| B3661301 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 36613 (California) | Primary |
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