Special Care 4 Special Smiles

Organization Active NPI Community/Behavioral Health Agency · Cudahy, CA

NPI 1609212083 · NPPES record last updated May 13, 2013

Key facts

NPI
1609212083
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
58323 (CA)
Legal business name
SPECIAL CARE 4 SPECIAL SMILES
Practice address
4566 Florence Ave Ste 7-8
Cudahy, CA 90201-4345
Phone
(323) 560-7656
NPI assigned
May 13, 2013
Organization subpart
No

Authorized official

Name
Dr. Timothy Steven Martinez, D.M.D.
Title
President
Phone
(909) 354-6211

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Special Care 4 Special Smile (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 58323 CA Yes

Addresses

Primary practice location

4566 Florence Ave Ste 7-8
Cudahy, CA 90201-4345

Mailing address

4566 Florence Ave Ste 7-8
Cudahy, CA 90201-4345
Phone (323) 560-7656

Other providers in Cudahy, CA

All providers in Cudahy, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.