| Advanced California Dental Clinic Inc | |
|
1125 S Beverly Dr Ste 750a Los Angeles CA 90035-1130 | |
| (310) 734-7705 | |
| Not Available |
| Full Name | Advanced California Dental Clinic Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1125 S Beverly Dr Ste 750a, Los Angeles, California |
| Authorized Official Name and Position | Samuel Lasry (DENTIST) |
| Authorized Official Contact | 4243626280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced California Dental Clinic Inc 1125 S Beverly Dr Ste 750a Los Angeles CA 90035-1130 Ph: (310) 734-7705 | Advanced California Dental Clinic Inc 1125 S Beverly Dr Ste 750a Los Angeles CA 90035-1130 Ph: (310) 734-7705 |
| NPI Number | 1902472848 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902472848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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