| Pinnacle Peak Dental Center | |
|
4855 Santa Monica Blvd Ste 111 Los Angeles CA 90029-2654 | |
| (323) 664-9363 | |
| (661) 425-9590 |
| Full Name | Pinnacle Peak Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4855 Santa Monica Blvd Ste 111, Los Angeles, California |
| Authorized Official Name and Position | Lawrence M. Lozada (DENTIST) |
| Authorized Official Contact | 3236649363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Peak Dental Center 4855 Santa Monica Blvd Ste 111 Los Angeles CA 90029-2654 Ph: (323) 664-9363 | Pinnacle Peak Dental Center 4855 Santa Monica Blvd Ste 111 Los Angeles CA 90029-2654 Ph: (323) 664-9363 |
| NPI Number | 1235683467 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 08/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235683467 | NPI | - | NPPES |
| 50486 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50486 (California) | Primary |
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