| Ucla Dental Radiology Practice | |
|
10833 Le Conte Ave Chs 10 -165 Los Angeles CA 90095-1668 | |
| (310) 825-5634 | |
| (310) 206-2748 |
| Full Name | Ucla Dental Radiology Practice |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Radiology |
| Location | 10833 Le Conte Ave, Los Angeles, California |
| Authorized Official Name and Position | Stuart C White (PROFESSOR) |
| Authorized Official Contact | 3108255634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Dental Radiology Practice 10833 Le Conte Ave Chs 10 -165 Los Angeles CA 90095-1668 Ph: (310) 825-5634 | Ucla Dental Radiology Practice 10833 Le Conte Ave Chs 10 -165 Los Angeles CA 90095-1668 Ph: (310) 825-5634 |
| NPI Number | 1356476865 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356476865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | (California) | Primary |
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