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Konviser Dental Professional Corporation
Oral and Maxillofacial Surgery (Dentist) in Marina Del Rey, California
NPI 1265913081

Konviser Dental Professional Corporation is a Oral and Maxillofacial Surgery (Dentist) based in Marina Del Rey, CA and is specialized in Oral and Maxillofacial Surgery. Konviser Dental Professional Corporation practices in Marina Del Rey, CA. The NPI Number for Konviser Dental Professional Corporation is 1265913081 and holds a License No. 51095 (California).

The current practice location address for Konviser Dental Professional Corporation is 4644 Lincoln Blvd Ste 404, Marina Del Rey, CA and can be reached out via phone at 310-578-2500.

Location: 4644 Lincoln Blvd Ste 404, Marina Del Rey, CA, 90292-6380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265913081
Provider Name
Konviser Dental Professional Corporation
Credential
Provider Entity Type
Organization
Address
4644 Lincoln Blvd Ste 404, Marina Del Rey, CA, 90292-6380
Phone Number
310-578-2500
Fax Number
Provider Enumeration Date
08/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4644 Lincoln Blvd Ste 404
City
Marina Del Rey
State
California
Zip
90292-6380
Phone Number
310-578-2500
Fax Number
person
Provider Business Mailing Address Details
Address
4644 Lincoln Blvd Ste 404
City
Marina Del Rey
State
California
Zip
90292-6380
Phone Number
310-578-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
51095 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
51095 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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