Lekavich Dental Corporation

NPI 1013118686 - Dentist - 122300000X

NPI Details
NPI 1013118686
Enumeration Date 05/30/2007
Last Updated 10/03/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIMOTHY FLORAN TIMOTHY
Position PRESIDENT
Phone (310) 373-5616
Fax (310) 872-5459
Practice Location
217 PALOS VERDES BLVD
#105
REDONDO BEACH CA, 90277-5820, US
Phone (310) 373-5616
Fax (310) 872-5459
Business Location
217 PALOS VERDES BLVD
#105
REDONDO BEACH CA, 90277-5820, US
Phone (310) 373-5616
Fax (310) 872-5459
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 38866
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According to our database, Lekavich Dental Corporation NPI is 1013118686, taxonomy code is 122300000X and license number is 38866, license state is located at California. Lekavich Dental Corporation physically located at 217 Palos Verdes Blvd, Redondo Beach CA, 90277-5820. NPI Number 1033115704 has the healthcare provider type.

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1013118686 NPI number is provided on an as is basis without warranty of any kind. 1013118686 is maintained by the National Plan & Provider Enumeration System. The contents of Lekavich Dental Corporation are for informational purposes only.