| Maurice K. Masliah, Dds, A Professional Corporation | |
|
11645 Wilshire Blvd Suite 1158 Los Angeles CA 90025-1708 | |
| (310) 820-5703 | |
| (310) 826-3063 |
| Full Name | Maurice K. Masliah, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 11645 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Maurice K Masliah (DOCTOR) |
| Authorized Official Contact | 3108205703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice K. Masliah, Dds, A Professional Corporation 11645 Wilshire Blvd Suite 1158 Los Angeles CA 90025-1708 Ph: (310) 820-5703 | Maurice K. Masliah, Dds, A Professional Corporation 11645 Wilshire Blvd Suite 1158 Los Angeles CA 90025-1708 Ph: (310) 820-5703 |
| NPI Number | 1437239894 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 05/13/2021 |
| Medicare PECOS PAC ID | 8426466731 |
|---|---|
| Medicare Enrollment ID | O20210714000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437239894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29958 (California) | Primary |
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