institution
The Regents Of The University Of California
Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California
NPI 1689692303

The Regents Of The University Of California is a Oral and Maxillofacial Surgery (Dentist) based in Los Angeles, CA and is specialized in Oral and Maxillofacial Surgery. The Regents Of The University Of California practices in Los Angeles, CA. The NPI Number for The Regents Of The University Of California is 1689692303 and holds a License No. 24545 (California).

The current practice location address for The Regents Of The University Of California is 10833 Le Conte Ave # A0-156C, Los Angeles, CA and can be reached out via phone at 310-825-0834 and via fax at 310-794-2198.

Location: 10833 Le Conte Ave # A0-156C, Los Angeles, CA, 90095-3075
institution
Provider Profile Details
NPI Number
1689692303
Provider Name
The Regents Of The University Of California
Credential
Provider Entity Type
Organization
Address
10833 Le Conte Ave # A0-156C, Los Angeles, CA, 90095-3075
Phone Number
310-825-0834
Fax Number
310-794-2198
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G9195801 01 CA DENTI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
10833 Le Conte Ave # A0-156C
City
State
Zip
90095-3075
Phone Number
310-825-0834
Fax Number
310-794-2198
person
Provider Business Mailing Address Details
Address
10833 Le Conte Ave # A0-156C
City
State
Zip
90095-3075
Phone Number
310-825-0834
Fax Number
310-794-2198
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
24545 (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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