Mary Pham Ikeda Dental Corporation

LBN: Mary Pham Ikeda Dental Corporation
Mary Pham Ikeda Dental Corporation is an health care organization with primary practice located at 13047 Artesia Blvd Ste C100 , Cerritos CA 90703-1369. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Mary Pham Ikeda Dental Corporation can be contacted via phone (714) 528-8252, or through Pham, Mary Regina via phone (714) 528-8252.

Contact Information

Primary practice address
13047 Artesia Blvd Ste C100 Cerritos CA 90703-1369
Phone: (714) 528-8252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pham, Mary Regina DDS MS
Phone: (714) 528-8252

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1518554641
LBN Legal business name Mary Pham Ikeda Dental Corporation
DBA Doing business as
Authorized official Pham, Mary Regina DDS MS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2020
Last updated Dec 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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