| Doctor Name: | CARRIE LOEWEN |
| NPI Number: | 1194004838 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.D.S. |
| License Number: | 60736 |
| Business Practice Address: | 881 Alma Real Dr Ste 315 Pacific Palisades, CA - 902725059 |
| Business Phone Number: | 3104593088 |
| Business Fax Number: | |
| Mailing Address: | 12021 Wilshire Blvd # 804, LOS ANGELES |
| State: | CA |
| Postal Code: | 900251206 |
| Phone Number: | 3106942902 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2011 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 60736 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | 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. |