Organization · Type 2 NPI
Mary Pham Ikeda Dental Corporation
Pediatric Dentistry · Cerritos, CA
NPI number
1518554641
Active
Practice location
13047 Artesia Blvd Ste C100
Cerritos, CA 90703-1369
Mailing address
2750 Harbor Blvd Ste B6
Costa Mesa, CA 92626-5121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | None listed |
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.
About NPI 1518554641
Mary Pham Ikeda Dental Corporation's National Provider Identifier is 1518554641, issued on Dec 22, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Cerritos, CA. The record was last updated on Dec 22, 2020.