Organization · Type 2 NPI

Regents of the University of California

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1104644988 Active

Practice location

10833 Le Conte Ave, # A0-156 Chs
Los Angeles, CA 90095-1668

Call (310) 825-0834 Map

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1104644988

Regents of the University of California's National Provider Identifier is 1104644988, issued on Sep 30, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 30, 2024.