IMPERIAL DENTAL CENTER CORP. NPI 1174744544

NPI Information

IMPERIAL DENTAL CENTER CORP. is a general practice dentist in Inglewood, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. IMPERIAL DENTAL CENTER CORP. NPI is 1174744544. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11254 CRENSHAW BLVD
INGLEWOOD, CA
ZIP 90303-805
Phone: (323) 756-1463

The provider's authorized official is Maria Ramos .
The authorized official title is Office Manager and has the following contact phone number (323) 756-1463.

The CLIA number assigned to this NPI record is 05D0549343 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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