Culver Westside Dental Group | |
12504 W Washington Blvd Los Angeles CA 90066-5506 | |
(310) 390-6272 | |
(310) 390-6674 |
Full Name | Culver Westside Dental Group |
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Speciality | Dentist - General Practice |
Location | 12504 W Washington Blvd, Los Angeles, California |
Authorized Official Name and Position | Lois Evans (ADMINISTRATOR) |
Authorized Official Contact | 3103906272 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Culver Westside Dental Group 12504 W Washington Blvd Los Angeles CA 90066-5506 Ph: (310) 390-6272 | Culver Westside Dental Group 12504 W Washington Blvd Los Angeles CA 90066-5506 Ph: (310) 390-6272 |
NPI Number | 1811180995 |
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Provider Enumeration Date | 08/22/2007 |
Last Update Date | 08/22/2007 |
Identifier | Type | State | Issuer |
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1811180995 | NPI | - | NPPES |
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