Provider Demographics
NPI:1740643725
Name:P EMIGH AND T EMIGH DENTAL PARTNERSHIP A GENERAL PARTNERSHIP
Entity type:Organization
Organization Name:P EMIGH AND T EMIGH DENTAL PARTNERSHIP A GENERAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:EMIGH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-900-1660
Mailing Address - Street 1:5500 E ATHERTON ST STE 430
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4018
Mailing Address - Country:US
Mailing Address - Phone:562-493-2401
Mailing Address - Fax:
Practice Address - Street 1:10952 REAGAN ST
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2400
Practice Address - Country:US
Practice Address - Phone:562-598-9497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60598261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental