| Usc Oral And Maxillofacial Faculty Practice | |
|
925 W 34th St Suite #149 Los Angeles CA 90089-0058 | |
| (213) 740-9648 | |
| Not Available |
| Full Name | Usc Oral And Maxillofacial Faculty Practice |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 925 W 34th St, Los Angeles, California |
| Authorized Official Name and Position | George Rosado (OFFICE MANAGER) |
| Authorized Official Contact | 2137409648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usc Oral And Maxillofacial Faculty Practice 925 West 34th Street Suite 149 Los Angeles CA 90089 Ph: (213) 740-9648 | Usc Oral And Maxillofacial Faculty Practice 925 W 34th St Suite #149 Los Angeles CA 90089-0058 Ph: (213) 740-9648 |
| NPI Number | 1285024372 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 01/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285024372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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