La Dell Dental Corporation | |
1127 Wilshire Blvd Ste 404 Los Angeles CA 90017-3905 | |
(323) 600-5287 | |
Not Available |
Full Name | La Dell Dental Corporation |
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Speciality | Clinic/center - Dental |
Location | 1127 Wilshire Blvd Ste 404, Los Angeles, California |
Authorized Official Name and Position | Amanda Wolff (MANAGER) |
Authorized Official Contact | 2134231127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Dell Dental Corporation 1127 Wilshire Blvd Ste 404 Los Angeles CA 90017-3905 Ph: () - | La Dell Dental Corporation 1127 Wilshire Blvd Ste 404 Los Angeles CA 90017-3905 Ph: (323) 600-5287 |
NPI Number | 1942082698 |
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Provider Enumeration Date | 10/17/2023 |
Last Update Date | 10/17/2023 |
Identifier | Type | State | Issuer |
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1942082698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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