Individual provider · Type 1 NPI

Jose Carlos Daudt Polido, DDS

Pediatric Dentistry · Los Angeles, CA

NPI number 1104912377 Active

Practice location

4650 W Sunset Blvd, MS# 116
Los Angeles, CA 90027-6062

Call (323) 361-2130 Map

Fax (323) 361-1090

Mailing address

6430 W Sunset Blvd, Suite 600
Los Angeles, CA 90028-7901

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X39870 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1104912377

Jose Carlos Daudt Polido, DDS's National Provider Identifier is 1104912377, issued on Oct 5, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 18, 2013.