Provider Demographics
NPI:1205690005
Name:KAREN SIERRA DDS APC
Entity type:Organization
Organization Name:KAREN SIERRA DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-701-5672
Mailing Address - Street 1:14650 AVIATION BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-6668
Mailing Address - Country:US
Mailing Address - Phone:424-336-9001
Mailing Address - Fax:
Practice Address - Street 1:14650 AVIATION BLVD STE 205
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-6668
Practice Address - Country:US
Practice Address - Phone:424-336-9001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty