Ucla Periodontal Clinic

NPI 1376641720 - Dentist - 1223P0300X

NPI Details
NPI 1376641720
Enumeration Date 09/20/2006
Last Updated 07/29/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PAULO PAULO
Position CHAIR
Phone (310) 825-3795
Fax (310) 206-3282
Practice Location
UCLA SCHOOL OF DENTISTRY
CHS B0 130
LOS ANGELES CA, 90095-1668, US
Phone (310) 825-3795
Fax (310) 206-3282
Business Location
10833 LE CONTE AVE
CHS63-048
LOS ANGELES CA, 90095-1668, US
Phone (310) 825-5543
Fax (310) 206-3282
Toxanomy
Taxonomy Code 1223P0300X
License State California
License Number 2059
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According to our database, Ucla Periodontal Clinic NPI is 1376641720, taxonomy code is 1223P0300X and license number is 2059, license state is located at California. Ucla Periodontal Clinic physically located at Ucla School Of Dentistry, Los Angeles CA, 90095-1668. NPI Number 1033115704 has the healthcare provider type.

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1376641720 NPI number is provided on an as is basis without warranty of any kind. 1376641720 is maintained by the National Plan & Provider Enumeration System. The contents of Ucla Periodontal Clinic are for informational purposes only.