Marina Adams, DDS

Individual provider Active NPI General Practice Dentistry · Inglewood, CA

NPI 1487865119 · NPPES record last updated Dec 14, 2019

Key facts

NPI
1487865119
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
47212 (CA)
Practice address
1608 Centinela Ave
7
Inglewood, CA 90302
Phone
(310) 216-9600
Fax
(310) 216-9148
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
47212CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47212 CA Yes

Addresses

Primary practice location

1608 Centinela Ave
7
Inglewood, CA 90302

Mailing address

1608 Centinela Ave
7
Inglewood, CA 90302
Phone (310) 216-9600

Other providers in Inglewood, CA

All providers in Inglewood, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.