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Kelly Chen Vitzthum, DDS
General Practice Dentistry in Los Angeles, California
NPI 1437779220

Kelly Chen Vitzthum is a General Practice Dentistry based in Arcadia, CA and is specialized in General Practice. Kelly Chen Vitzthum practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Kelly Chen Vitzthum is 1437779220 and holds a License No. (California).

The current practice location address for Kelly Chen Vitzthum is 10833 Le Conte Ave, Los Angeles, CA and can be reached out via phone at 310-825-6510.

Location: 10833 Le Conte Ave, Los Angeles, CA, 91006-5831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437779220
Provider Name
Kelly Chen Vitzthum
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
10833 Le Conte Ave, Los Angeles, CA, 91006-5831
Phone Number
310-825-6510
Fax Number
Provider Enumeration Date
04/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10833 Le Conte Ave
City
Los Angeles
State
California
Zip
90095-8361
Phone Number
310-825-6510
Fax Number
person
Provider Business Mailing Address Details
Address
10833 Le Conte Ave
City
Los Angeles
State
California
Zip
90095-8361
Phone Number
310-825-6510
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
107512 (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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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