COLUMBIA DENTAL SPECIALTY GROUP NPI 1851790661

NPI Information

COLUMBIA DENTAL SPECIALTY GROUP is a periodontics dentist in Santa Monica, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. COLUMBIA DENTAL SPECIALTY GROUP NPI is 1851790661. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1807 WILSHIRE BLVD
STE A
SANTA MONICA, CA
ZIP 90403-652
Phone: (310) 264-1711
Fax: (310) 453-6486

The provider's authorized official is Jennifer Chang .
The authorized official title is President/owner and has the following contact phone number (310) 264-1711.

The enumeration date for this NPI number is 8/18/2014 and was last updated on 8/18/2014.

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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