Organization · Type 2 NPI
Mgdveladze DDS Inc.
Dental Clinic/Center · Los Angeles, CA
NPI number
1205766342
Active
Practice location
5710 W 83rd St
Los Angeles, CA 90045-4301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1205766342
Mgdveladze DDS Inc.'s National Provider Identifier is 1205766342, issued on May 20, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Los Angeles, CA. The record was last updated on May 20, 2026.