Provider Demographics
NPI:1437513801
Name:APFEL, SERENA (DDS)
Entity Type:Individual
Prefix:
First Name:SERENA
Middle Name:
Last Name:APFEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 S MCCADDEN PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-4817
Mailing Address - Country:US
Mailing Address - Phone:323-936-4928
Mailing Address - Fax:323-936-4170
Practice Address - Street 1:313 S MCCADDEN PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-4817
Practice Address - Country:US
Practice Address - Phone:323-936-4928
Practice Address - Fax:323-936-4170
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA373841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice