Healthcare Provider Details

I. General information

NPI: 1164897351
Provider Name (Legal Business Name): THE VIEW DENTAL SPECIALTY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 W. HUNTINGTON DRIVE #207
ARCADIA CA
91007
US

IV. Provider business mailing address

1245 W HUNTINGTON DR #207
ARCADIA CA
91007-6333
US

V. Phone/Fax

Practice location:
  • Phone: 626-793-7338
  • Fax:
Mailing address:
  • Phone: 626-793-7338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: SHERLENE TING
Title or Position: ADMINISTRATOR
Credential:
Phone: 626-375-0656