San Pedro Dental

LBN: San Pedro Dental
San Pedro Dental is an health care organization with primary practice located at 520 W 7Th St , San Pedro CA 90731-3116. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. San Pedro Dental can be contacted via phone (310) 832-5361, or through Fry, Speed via phone (310) 832-5361.

Contact Information

Primary practice address
520 W 7Th St San Pedro CA 90731-3116
Phone: (310) 832-5361
Fax: (310) 831-8836
Website:
Map and Directions
Authorized official contact:
Name: Fry, Speed
Phone: (310) 832-5361

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 20546 California

Profile Details

NPI number 1538451208
LBN Legal business name San Pedro Dental
DBA Doing business as
Authorized official Fry, Speed
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2011
Last updated May 12th, 2011 - about 15 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 1538451208 NPPES
California Other B20546-03 DENTICAL

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