BAJO DMD & LIWANAG DMD INC NPI 1790798684

NPI Information

NPI: 1790798684
Provider Name: BAJO DMD & LIWANAG DMD INC

Doing Business As: CARSON FAMILY DENTAL OFFICE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
144 WEST CARSON ST
CARSON, CA
ZIP 90745
Phone: (310) 835-4088
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BAJO DMD & LIWANAG DMD INC is a dental clinic center in Carson, CA. BAJO DMD & LIWANAG DMD INC NPI is 1790798684. The provider is registered as an organization entity type.
The provider Is Doing Business As Carson Family Dental Office.

The provider's business location address is:

144 WEST CARSON ST
CARSON, CA
ZIP 90745
Phone: (310) 835-4088
Fax: (310) 835-8488

The provider's authorized official is Elenita B Liwanag .
The authorized official title is Dr Vp and has the following contact phone number (310) 835-7088.

The enumeration date for this NPI number is 8/14/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	38963	CALIFORNIA	No
2	261QD0000X	Clinic/Center	Dental	38027	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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