NPI 1154588895 · live from the CMS NPI Registry
A Beautiful Smile Means A Better Life 2
Dentist, General Practice in Downey, CA. National Provider Identifier 1154588895, active.
NPI record
| NPI | 1154588895 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 11411 Brookshire Ave Ste 405, Downey, CA 90241 |
| Practice phone | 562-861-0496 |
| Enumerated | May 20, 2008 |
| Last updated | May 20, 2008 |
| Authorized official | Gary Crockett, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 50687 (CA) |
| Dentist, General Practice primary | 1223G0001X | 20092 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.