Provider Demographics
NPI:1306266838
Name:M.D.S.C., INC.
Entity type:Organization
Organization Name:M.D.S.C., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NATVIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-643-9711
Mailing Address - Street 1:14650 AVIATION BLVD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-6668
Mailing Address - Country:US
Mailing Address - Phone:310-643-9711
Mailing Address - Fax:310-643-0933
Practice Address - Street 1:14650 AVIATION BLVD
Practice Address - Street 2:SUITE 185
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-6668
Practice Address - Country:US
Practice Address - Phone:310-643-9711
Practice Address - Fax:310-643-0933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA209181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty