Provider Demographics
NPI:1467662023
Name:TEMPEL, ERNA RENEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNA
Middle Name:RENEE
Last Name:TEMPEL
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 1:12202 WASHINGTON BL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5008
Mailing Address - Country:US
Mailing Address - Phone:310-915-9797
Mailing Address - Fax:310-915-9739
Practice Address - Street 1:12202 WASHINGTON BL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5508
Practice Address - Country:US
Practice Address - Phone:310-915-9797
Practice Address - Fax:310-915-9739
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30368122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist