| Organization Name: | COMPREHENSIVE DENTAL CARE |
| NPI Number: | 1003191982 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS A HERRERA (PRESIDENT/OWNER) |
| Mailing Address: | 141 N Prairie Ave Inglewood |
| State: | CA US |
| Postal Code: | 903011904 |
| Phone Number: | 3103300080 |
| Fax Number: | 3103303995 |
| NPI Enumeration Date: | 10/11/2011 |
| NPI Last Update Date: | 10/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 53222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |