Provider Demographics
NPI:1275705774
Name:LINDA C. ONYEADOR, D.D.S., INC.
Entity Type:Organization
Organization Name:LINDA C. ONYEADOR, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-762-9292
Mailing Address - Street 1:555 W COMPTON BLVD
Mailing Address - Street 2:SUITE #103
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-3085
Mailing Address - Country:US
Mailing Address - Phone:310-762-9292
Mailing Address - Fax:310-762-6680
Practice Address - Street 1:555 W COMPTON BLVD
Practice Address - Street 2:SUITE #103
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-3085
Practice Address - Country:US
Practice Address - Phone:310-762-9292
Practice Address - Fax:310-762-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty