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Ucla Venice Dental Center
Dental Clinic/Center in Venice, California
NPI 1255465902

Ucla Venice Dental Center is a Dental Clinic/Center based in Venice, CA and is specialized in Dental. Ucla Venice Dental Center practices in Venice, CA. The NPI Number for Ucla Venice Dental Center is 1255465902 and holds a License No. (California).

The current practice location address for Ucla Venice Dental Center is 323 Lincoln Blvd, Venice, CA and can be reached out via phone at 310-392-4103.

Location: 323 Lincoln Blvd, Venice, CA, 90291-2842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255465902
Provider Name
Ucla Venice Dental Center
Credential
Provider Entity Type
Organization
Address
323 Lincoln Blvd, Venice, CA, 90291-2842
Phone Number
310-392-4103
Fax Number
Provider Enumeration Date
03/15/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
G01004-01 01 CA DENTI-CAL
institution
Provider Business Practice Location Address Details
Address
323 Lincoln Blvd
City
Venice
State
California
Zip
90291-2842
Phone Number
310-392-4103
Fax Number
person
Provider Business Mailing Address Details
Address
323 Lincoln Blvd
City
Venice
State
California
Zip
90291-2842
Phone Number
310-392-4103
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
(California)
Definition
Definition to come...
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