| University Of Southern California Ostrow School Ofdentistry Mobile Clc | |
|
925 W 34th St # 4202 Los Angeles CA 90089-0058 | |
| (213) 740-7405 | |
| Not Available |
| Full Name | University Of Southern California Ostrow School Ofdentistry Mobile Clc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 925 W 34th St # 4202, Los Angeles, California |
| Authorized Official Name and Position | Charlene Flowers (DIRECTOR OF CLINICAL FINANCE) |
| Authorized Official Contact | 2137407405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Southern California Ostrow School Ofdentistry Mobile Clc 925 W 34th St # 4202 Los Angeles CA 90089-0058 Ph: (213) 740-7405 | University Of Southern California Ostrow School Ofdentistry Mobile Clc 925 W 34th St # 4202 Los Angeles CA 90089-0058 Ph: (213) 740-7405 |
| NPI Number | 1235569377 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 11/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235569377 | NPI | - | NPPES |
| 1447579370 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D53653 (California) | Primary |
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