institution
Maxwell Dental Corporation
Dental Clinic/Center in Los Angeles, California
NPI 1538389069

Maxwell Dental Corporation is a Dental Clinic/Center based in Los Angeles, CA and is specialized in Dental. Maxwell Dental Corporation practices in Los Angeles, CA. The NPI Number for Maxwell Dental Corporation is 1538389069 and holds a License No. 35944 (California).

The current practice location address for Maxwell Dental Corporation is 6828 La Tijera Blvd, Los Angeles, CA and can be reached out via phone at 310-216-0971 and via fax at 310-216-1530.

Location: 6828 La Tijera Blvd, Los Angeles, CA, 90045-1905
institution
Provider Profile Details
NPI Number
1538389069
Provider Name
Maxwell Dental Corporation
Credential
Provider Entity Type
Organization
Address
6828 La Tijera Blvd, Los Angeles, CA, 90045-1905
Phone Number
310-216-0971
Fax Number
310-216-1530
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B03594401 01 CA DENTI-CAL
662491 01 CA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
6828 La Tijera Blvd
City
State
Zip
90045-1905
Phone Number
310-216-0971
Fax Number
310-216-1530
person
Provider Business Mailing Address Details
Address
6828 La Tijera Blvd
City
State
Zip
90045-1905
Phone Number
310-216-0971
Fax Number
310-216-1530
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
35944 (California)
Definition
Definition to come...
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