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ROYAL FAMILY DENTAL INC NPI 1659889715


NPI Information

NPI: 1659889715
Provider Name: ROYAL FAMILY DENTAL INC

Doing Business As: ROYAL FAMILY DENTAL INC

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1455 N AVALON BLVD
WILMINGTON, CA
ZIP 90744
Phone: (310) 561-8711
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ROYAL FAMILY DENTAL INC is a preferred provider organization in Wilmington, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ROYAL FAMILY DENTAL INC NPI is 1659889715. The provider is registered as an organization entity type.
The provider Is Doing Business As Royal Family Dental Inc.

The provider's business location address is:

1455 N AVALON BLVD
WILMINGTON, CA
ZIP 90744-506
Phone: (310) 561-8711

The provider's authorized official is Elvis Baquero .
The authorized official title is Dentist and has the following contact phone number (310) 561-8711.

The enumeration date for this NPI number is 1/11/2018 and was last updated on 1/11/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization49059CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
149059MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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