MEDICARE: LINDA C. ONYEADOR, D.D.S., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1275705774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA C. ONYEADOR, D.D.S., INC.

Provider Business Mailing Address
First Line	:	555 W COMPTON BLVD
Second Line	:	SUITE #103
City	:	COMPTON
State	:	CA
Zip	:	90220-3085
Country	:	US
Telephone Number	:	310-762-9292
Fax Number	:	310-762-6680

Provider Business Practice Location Address
First Line	:	555 W COMPTON BLVD
Second Line	:	SUITE #103
City	:	COMPTON
State	:	CA
Zip	:	90220-3085
Country	:	US
Telephone Number	:	310-762-9292
Fax Number	:	310-762-6680

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINDA ONYEADOR
Credential	:
Telephone Number	:	310-762-9292

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	03/02/2015

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