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Ucla Periodontal Clinic
Periodontist in Los Angeles, California
NPI 1376641720

Ucla Periodontal Clinic is a Periodontist based in Los Angeles, CA and is specialized in Periodontics. Ucla Periodontal Clinic practices in Los Angeles, CA. The NPI Number for Ucla Periodontal Clinic is 1376641720 and holds a License No. 2059 (California).

The current practice location address for Ucla Periodontal Clinic is Ucla School Of Dentistry, Los Angeles, CA and can be reached out via phone at 310-825-3795 and via fax at 310-825-9653.

Location: Ucla School Of Dentistry, Los Angeles, CA, 90095-1668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376641720
Provider Name
Ucla Periodontal Clinic
Credential
Provider Entity Type
Organization
Address
Ucla School Of Dentistry, Los Angeles, CA, 90095-1668
Phone Number
310-825-3795
Fax Number
310-825-9653
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D34623 01 CA DENTICAL
02059 01 CA DELTA DENTAL OF CA GROUP
institution
Provider Business Practice Location Address Details
Address
Ucla School Of Dentistry
City
Los Angeles
State
California
Zip
90095-1668
Phone Number
310-825-3795
Fax Number
310-825-9653
person
Provider Business Mailing Address Details
Address
Ucla School Of Dentistry
City
Los Angeles
State
California
Zip
90095-1668
Phone Number
310-825-3795
Fax Number
310-825-9653
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
2059 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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