| Jenifer B Labrador DDS Inc | |
|
22211 S Avalon Blvd Carson CA 90745 | |
| (310) 835-9010 | |
| (310) 835-3044 |
| Full Name | Jenifer B Labrador DDS Inc |
|---|---|
| Speciality | Dentist |
| Location | 22211 S Avalon Blvd, Carson, California |
| Authorized Official Name and Position | Jenifer B Labrador (DENTIST OWNER) |
| Authorized Official Contact | 3108359010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenifer B Labrador DDS Inc 22211 S Avalon Blvd Carson CA 90745 Ph: (310) 835-9010 | Jenifer B Labrador DDS Inc 22211 S Avalon Blvd Carson CA 90745 Ph: (310) 835-9010 |
| NPI Number | 1871614818 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871614818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42840 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 42840 (California) | Secondary |
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