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Dr. Jose Carlos Daudt Polido, DDS
Pediatric Dentist in Los Angeles, California
NPI 1104912377

Jose Carlos Daudt Polido is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Jose Carlos Daudt Polido practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Jose Carlos Daudt Polido is 1104912377 and holds a License No. 39870 (California).

The current practice location address for Jose Carlos Daudt Polido is 4650 W Sunset Blvd, Los Angeles, CA and can be reached out via phone at 323-361-2130 and via fax at 323-361-1090.

Location: 4650 W Sunset Blvd, Los Angeles, CA, 90028-7901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104912377
Provider Name
Jose Carlos Daudt Polido
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4650 W Sunset Blvd, Los Angeles, CA, 90028-7901
Phone Number
323-361-2130
Fax Number
323-361-1090
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D39870 05 CA
institution
Provider Business Practice Location Address Details
Address
4650 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-6062
Phone Number
323-361-2130
Fax Number
323-361-1090
person
Provider Business Mailing Address Details
Address
4650 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-6062
Phone Number
323-361-2130
Fax Number
323-361-1090
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
39870 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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