6TH STREET FAMILY DENTAL GROUP
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1194879627- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2065 W 6TH STREET SUITE 109, LOS ANGELES, CA, 90057
- Phone
- (213) 484-2100
- Fax
- (213) 484-1474
Specialties & Taxonomies
Dentist
License: CA #41084
Dentist
Primary License: CA #39963