institution
Courtney Ray Mittelmark, D.m.d., M.s.d., A Professional Corp.
Dental Clinic/Center in Los Angeles, California
NPI 1588800510

Courtney Ray Mittelmark, D.m.d., M.s.d., A Professional Corp. is a Dental Clinic/Center based in Los Angeles, CA and is specialized in Dental. Courtney Ray Mittelmark, D.m.d., M.s.d., A Professional Corp. practices in Los Angeles, CA. The NPI Number for Courtney Ray Mittelmark, D.m.d., M.s.d., A Professional Corp. is 1588800510 and holds a License No. 61908 (California).

The current practice location address for Courtney Ray Mittelmark, D.m.d., M.s.d., A Professional Corp. is 8540 S Sepulveda Blvd, Los Angeles, CA and can be reached out via phone at 310-216-0101 and via fax at 310-216-1279.

Location: 8540 S Sepulveda Blvd, Los Angeles, CA, 90045-3807
institution
Provider Profile Details
NPI Number
1588800510
Provider Name
Courtney Ray Mittelmark, D.m.d., M.s.d., A Professional Corp.
Credential
Provider Entity Type
Organization
Address
8540 S Sepulveda Blvd, Los Angeles, CA, 90045-3807
Phone Number
310-216-0101
Fax Number
310-216-1279
Provider Enumeration Date
12/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8540 S Sepulveda Blvd
City
State
Zip
90045-3807
Phone Number
310-216-0101
Fax Number
310-216-1279
person
Provider Business Mailing Address Details
Address
8540 S Sepulveda Blvd
City
State
Zip
90045-3807
Phone Number
310-216-0101
Fax Number
310-216-1279
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
61908 (California)
Definition
Definition to come...
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