| Dove Dental Spa | |
|
8540 S Sepulveda Blvd Ste 1212 Los Angeles CA 90045-3819 | |
| (310) 645-2886 | |
| Not Available |
| Full Name | Dove Dental Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8540 S Sepulveda Blvd Ste 1212, Los Angeles, California |
| Authorized Official Name and Position | Warren J Gerosa (CEO) |
| Authorized Official Contact | 3106452886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Dental Spa 8540 S Sepulveda Blvd Ste 1212 Los Angeles CA 90045-3819 Ph: () - | Dove Dental Spa 8540 S Sepulveda Blvd Ste 1212 Los Angeles CA 90045-3819 Ph: (310) 645-2886 |
| NPI Number | 1114214269 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114214269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33712 (California) | Primary |
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