Ucla Dental Clinics

NPI 1740392182 - Dentist - 122300000X

NPI Details
NPI 1740392182
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY M JEFFREY
Position DIRECTOR CLINICAL DENTAL CENTER
Phone (310) 825-9805
Fax (310) 825-5252
Practice Location
10833 LE CONTE AVE
SUITE 10137 CHS
LOS ANGELES CA, 90095-1668, US
Phone (310) 825-9805
Fax (310) 825-5252
Business Location
PO BOX 951668
LOS ANGELES CA, 90095-1668, US
Phone (310) 825-9805
Fax (310) 825-5252
Toxanomy
Taxonomy Code 122300000X
License State California
License Number G01005
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According to our database, Ucla Dental Clinics NPI is 1740392182, taxonomy code is 122300000X and license number is G01005, license state is located at California. Ucla Dental Clinics physically located at 10833 Le Conte Ave, Los Angeles CA, 90095-1668. NPI Number 1033115704 has the healthcare provider type.

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1740392182 NPI number is provided on an as is basis without warranty of any kind. 1740392182 is maintained by the National Plan & Provider Enumeration System. The contents of Ucla Dental Clinics are for informational purposes only.