Individual provider · Type 1 NPI
Fidelis Santillan King, DDS
General Practice Dentistry · Los Angeles, CA
NPI number
1265594428
Active
Practice location
646 N Larchmont Blvd
Los Angeles, CA 90004-1308
Fax (323) 463-4692
Mailing address
19139 Stare St
Northridge, CA 91324-1266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 36423 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
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- Emily Kwong, DDSGeneral Practice Dentistry Los Angeles, CA NPI 1003083817
- Florence Asadurian, DDSGeneral Practice Dentistry Los Angeles, CA NPI 1003199415
- Margarita Metrikina, DDSGeneral Practice Dentistry Los Angeles, CA NPI 1003253576
- Kayla Kigawa, DDSGeneral Practice Dentistry Los Angeles, CA NPI 1003538687
About NPI 1265594428
Fidelis Santillan King, DDS's National Provider Identifier is 1265594428, issued on Dec 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.