| Prairie Family Dentistry | |
|
3949 Artesia Blvd Torrance CA 90504-3210 | |
| (310) 303-3988 | |
| (310) 303-3919 |
| Full Name | Prairie Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3949 Artesia Blvd, Torrance, California |
| Authorized Official Name and Position | Ludivina Luis Pagatpatan (OWNER) |
| Authorized Official Contact | 3103033988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Family Dentistry 3949 Artesia Blvd Torrance CA 90504-3210 Ph: (310) 303-3988 | Prairie Family Dentistry 3949 Artesia Blvd Torrance CA 90504-3210 Ph: (310) 303-3988 |
| NPI Number | 1043273535 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043273535 | NPI | - | NPPES |
| G9282301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48162 (California) | Primary |
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