| Grand Orthodontics | |
|
310 E Grand Ave Ste 106 El Segundo CA 90245-3871 | |
| (310) 648-8781 | |
| (310) 648-8776 |
| Full Name | Grand Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 310 E Grand Ave Ste 106, El Segundo, California |
| Authorized Official Name and Position | Kendall Sherron Woolridge (OWNER/DENTIST) |
| Authorized Official Contact | 3106488781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Orthodontics 310 E Grand Ave Ste 106 El Segundo CA 90245-3871 Ph: (310) 648-8781 | Grand Orthodontics 310 E Grand Ave Ste 106 El Segundo CA 90245-3871 Ph: (310) 648-8781 |
| NPI Number | 1609149533 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609149533 | NPI | - | NPPES |
| 1104006196 | Other | CA | INDIVIDUAL NPI |
| 1609159533 | Other | CA | TYPE 2 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 57096 (California) | Primary |
El Segundo Beautiful Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, El Segundo, CA 90245 Phone: 310-322-1814 | |
The Cosmopolitan Dentis Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd Ste 1050, El Segundo, CA 90245 Phone: 310-648-8066 Fax: 310-648-8020 | |
Boudaie Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 N Pacific Coast Hwy Ste 15, El Segundo, CA 90245 Phone: 310-341-3041 Fax: 310-341-3328 | |
El Segundo Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Grand Ave Ste 102, El Segundo, CA 90245 Phone: 424-277-1138 | |
Aero Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Grand Ave Ste 102, El Segundo, CA 90245 Phone: 760-453-5702 | |
Robert Murphy Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Main St, Suite 4, El Segundo, CA 90245 Phone: 310-640-2025 Fax: 310-640-2032 |