Port Dental Care of Long Beach
NPI #1811240245 in Long Beach, California
Provider Information
- NPI Number
- 1811240245
- Entity Type
- Organization
- Organization Name
- Port Dental Care of Long Beach
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 23, 2012
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 825 PACIFIC AVE
- City
- Long Beach
- State
- California
- ZIP Code
- 90813-4225
- Phone
- (562) 436-4598
Authorized Official
- Name
- DR. ARCELI P DIAZ, DDS
- Title
- PRESIDENT
- Phone
- (562) 436-4598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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