NPI 1407249204 · live from the CMS NPI Registry
4d Management INC
Dentist, Prosthodontics in Rosemead, CA. National Provider Identifier 1407249204, active.
NPI record
| NPI | 1407249204 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Prosthodontics 1223P0700X |
| Practice location | 9202 Valley Blvd, Rosemead, CA 91770 |
| Practice phone | 626-288-6050 |
| Mailing address | 16562 Redwood Cir, Fountain Valley, CA 92708 |
| Enumerated | March 18, 2015 |
| Last updated | March 18, 2015 |
| Authorized official | Vivian Pham, Manager |
| Other names | Cosmo Dental Specialists |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — (CA) |
| Dentist, Prosthodontics primary | 1223P0700X | — (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.