Ucla School Of Dentistry | |
10833 Le Conte Ave 10-137 Chs Los Angeles CA 90095-1668 | |
(310) 825-9805 | |
(310) 825-5252 |
Full Name | Ucla School Of Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 10833 Le Conte Ave, Los Angeles, California |
Authorized Official Name and Position | No-hee Park (DEAN) |
Authorized Official Contact | 3102066063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ucla School Of Dentistry 10833 Le Conte Ave 10-137 Chs Los Angeles CA 90095-1668 Ph: (310) 206-6063 | Ucla School Of Dentistry 10833 Le Conte Ave 10-137 Chs Los Angeles CA 90095-1668 Ph: (310) 825-9805 |
NPI Number | 1114093416 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114093416 | NPI | - | NPPES |
U01005 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D33035 (California) | Primary |
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