| Wilshire Park Dental Group | |
|
3700 Wilshire Blvd 780 Los Angeles CA 90010-2901 | |
| (213) 380-7900 | |
| (213) 382-3454 |
| Full Name | Wilshire Park Dental Group |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3700 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Lee Jay Harris (CORPORATE SEC./ EXEC. DIRECTOR) |
| Authorized Official Contact | 2133807900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilshire Park Dental Group 3700 Wilshire Blvd 780 Los Angeles CA 90010-2901 Ph: (213) 380-7900 | Wilshire Park Dental Group 3700 Wilshire Blvd 780 Los Angeles CA 90010-2901 Ph: (213) 380-7900 |
| NPI Number | 1275781932 |
|---|---|
| Provider Enumeration Date | 09/05/2008 |
| Last Update Date | 09/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275781932 | NPI | - | NPPES |
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