The Children's Dental Foundation
NPI #1710161880 in Avalon, California
Provider Information
- NPI Number
- 1710161880
- Entity Type
- Organization
- Organization Name
- The Children's Dental Foundation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHILDREN'S DENTAL HEALTH CLINIC
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 24, 2007
- Last Updated
- Jan 16, 2009
Practice Location
- Address
- 200 FALLS CANYON ROAD
- City
- Avalon
- State
- California
- ZIP Code
- 90704
- Phone
- (310) 510-8287
Authorized Official
- Name
- DR. JOHN BLAKE, DDS
- Title
- DENTAL DIRECTOR
- Phone
- (562) 933-3141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dental Assistant |
| Dentist |
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