| Kids & Family Dental Care | |
|
1400 W Whittier Blvd Montebello CA 90640-4603 | |
| (323) 530-0296 | |
| Not Available |
| Full Name | Kids & Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1400 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | Aquileo Martinez (PRESIDENT) |
| Authorized Official Contact | 3237995576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids & Family Dental Care 1400 W Whittier Blvd Montebello CA 90640-4603 Ph: (323) 530-0296 | Kids & Family Dental Care 1400 W Whittier Blvd Montebello CA 90640-4603 Ph: (323) 530-0296 |
| NPI Number | 1558871723 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558871723 | NPI | - | NPPES |
| 1659405454 | Medicaid | CA | |
| 1295867414 | Medicaid | CA | |
| 1649337239 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DDS42362 (California) | Primary |
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