Ucla Pediatric Dentistry

NPI 1467667618 - Dentist - 1223P0221X

NPI Details
NPI 1467667618
Enumeration Date 05/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name REBECCA LOPEZ REBECCA
Position OFFICE MANAGER
Phone (310) 825-8755
Fax
Practice Location
10833 LE CONTE AVE
20-137
LOS ANGELES CA, 90095-1668, US
Phone (310) 825-8755
Fax
Business Location
10833 LE CONTE AVE
20-137
LOS ANGELES CA, 90095-1668, US
Phone (310) 825-8755
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State California
License Number D51747
Remove 1467667618 NPI Number
 

According to our database, Ucla Pediatric Dentistry NPI is 1467667618, taxonomy code is 1223P0221X and license number is D51747, license state is located at California. Ucla Pediatric Dentistry physically located at 10833 Le Conte Ave, Los Angeles CA, 90095-1668. NPI Number 1033115704 has the healthcare provider type.

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1467667618 NPI number is provided on an as is basis without warranty of any kind. 1467667618 is maintained by the National Plan & Provider Enumeration System. The contents of Ucla Pediatric Dentistry are for informational purposes only.