Westside Pediatric Dental Group

LBN: Westside Pediatric Dental Group
Westside Pediatric Dental Group is an health care organization with primary practice located at 1304 15Th St Ste 206 , Santa Monica CA 90404-1811. 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. Westside Pediatric Dental Group can be contacted via phone (310) 451-5748, or through Gross, Emmanuel Bernard via phone (310) 451-5748.

Contact Information

Primary practice address
1304 15Th St Ste 206 Santa Monica CA 90404-1811
Phone: (310) 451-5748
Fax: (310) 393-9528
Website:
Map and Directions
Authorized official contact:
Name: Gross, Emmanuel Bernard Doctor of Dental Surgery (DDS)
Phone: (310) 451-5748

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 39266 California
Dental Providers / Pediatric Dentistry 1223P0221X 59919 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 31742 California

Profile Details

NPI number 1235506312
LBN Legal business name Westside Pediatric Dental Group
DBA Doing business as
Authorized official Gross, Emmanuel Bernard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2015
Last updated Aug 25th, 2015 - about 11 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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