Bajo DMD & Liwanag DMD Inc

Organization Active NPI Dental Clinic/Center · Carson, CA

NPI 1790798684 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1790798684
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
38027 (CA)
Legal business name
BAJO DMD & LIWANAG DMD INC
Practice address
144 West Carson St
Carson, CA 90745
Phone
(310) 835-4088
Fax
(310) 835-8488
NPI assigned
Aug 14, 2006
Organization subpart
No

Authorized official

Name
Dr. Elenita B Liwanag, DMD
Title
Dr VP
Phone
(310) 835-7088

National Provider Directory

Locations

144 W Carson St
Carson, CA 90745
Phone (310) 835-4088

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 38963 CA
Dental Clinic/Center 261QD0000X 38027 CA Yes

Addresses

Primary practice location

144 West Carson St
Carson, CA 90745

Mailing address

144 West Carson St
Carson, CA 90745
Phone (310) 835-4088

Other names

  • Carson Family Dental Office Doing business as

Other providers in Carson, CA

All providers in Carson, CA · Dental Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.