| Larchmont Family Dentists - Kezian Dental Group | |
|
443 N Larchmont Blvd Los Angeles CA 90004-3073 | |
| (323) 533-6872 | |
| Not Available |
| Full Name | Larchmont Family Dentists - Kezian Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 443 N Larchmont Blvd, Los Angeles, California |
| Authorized Official Name and Position | Michael Kezian (GENERAL PARTNER) |
| Authorized Official Contact | 3235336872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larchmont Family Dentists - Kezian Dental Group 443 N Larchmont Blvd Los Angeles CA 90004-3073 Ph: (323) 467-2777 | Larchmont Family Dentists - Kezian Dental Group 443 N Larchmont Blvd Los Angeles CA 90004-3073 Ph: (323) 533-6872 |
| NPI Number | 1053151365 |
|---|---|
| Provider Enumeration Date | 05/27/2024 |
| Last Update Date | 05/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053151365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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