Prairie Family Dentistry

LBN: Prairie Family Dentistry
Prairie Family Dentistry is an health care organization with primary practice located at 3949 Artesia Blvd , Torrance CA 90504-3210. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Prairie Family Dentistry can be contacted via phone (310) 303-3988, or through Pagatpatan, Ludivina Luis via phone (310) 303-3988.

Contact Information

Primary practice address
3949 Artesia Blvd Torrance CA 90504-3210
Phone: (310) 303-3988
Fax: (310) 303-3919
Website:
Map and Directions
Authorized official contact:
Name: Pagatpatan, Ludivina Luis
Phone: (310) 303-3988

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 48162 California

Profile Details

NPI number 1043273535
LBN Legal business name Prairie Family Dentistry
DBA Doing business as
Authorized official Pagatpatan, Ludivina Luis
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043273535 NPPES
California MEDICAID G9282301

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