| Luxe Dental Cosmetics | |
|
11980 San Vicente Blvd Ste 819 Los Angeles CA 90049-6606 | |
| (424) 372-9159 | |
| Not Available |
| Full Name | Luxe Dental Cosmetics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11980 San Vicente Blvd Ste 819, Los Angeles, California |
| Authorized Official Name and Position | Nima Astaraee (DENTIST/CEO) |
| Authorized Official Contact | 6192613933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luxe Dental Cosmetics 11870 Santa Monica Blvd Ste 106418 Los Angeles CA 90025-2276 Ph: () - | Luxe Dental Cosmetics 11980 San Vicente Blvd Ste 819 Los Angeles CA 90049-6606 Ph: (424) 372-9159 |
| NPI Number | 1669954566 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669954566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DDS101265 (California) | Primary |
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