| David Cedeno Md Dds Professional Corporation | |
|
1127 Wilshire Blvd Ste 1510 Los Angeles CA 90017-4006 | |
| (213) 977-0943 | |
| (213) 977-0139 |
| Full Name | David Cedeno Md Dds Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1127 Wilshire Blvd Ste 1510, Los Angeles, California |
| Authorized Official Name and Position | Diann Boonnaragorn (OFFICE MANAGER) |
| Authorized Official Contact | 2132703235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Cedeno Md Dds Professional Corporation 1127 Wilshire Blvd Ste 1510 Los Angeles CA 90017-4006 Ph: (213) 977-0943 | David Cedeno Md Dds Professional Corporation 1127 Wilshire Blvd Ste 1510 Los Angeles CA 90017-4006 Ph: (213) 977-0943 |
| NPI Number | 1003384579 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 11/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003384579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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