| Mid Wilshire Dental Care | |
|
3460 Wilshire Blvd 210 Los Angeles CA 90010-2206 | |
| (213) 386-3348 | |
| (213) 386-3357 |
| Full Name | Mid Wilshire Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 3460 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Mark Srol Laska (OWNER) |
| Authorized Official Contact | 2133863348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Wilshire Dental Care 3460 Wilshire Blvd 210 Los Angeles CA 90010-2206 Ph: (213) 386-3348 | Mid Wilshire Dental Care 3460 Wilshire Blvd 210 Los Angeles CA 90010-2206 Ph: (213) 386-3348 |
| NPI Number | 1265588412 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265588412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21155 (California) | Primary |
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