Organization · Type 2 NPI
Konviser Dental Professional Corporation
Oral and Maxillofacial Surgery (Dentist) · Marina Del Rey, CA
NPI number
1265913081
Active
Practice location
4644 Lincoln Blvd Ste 404
Marina Del Rey, CA 90292-6380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 51095 (CA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 51095 (CA) |
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.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Marina Del Rey
- William Ginzburg Dental Center IncOral and Maxillofacial Surgery (Dentist) Marina Del Rey, CA NPI 1457834889
- Vadim Konviser DDS A Professional CorpOral and Maxillofacial Surgery (Dentist) Marina Del Rey, CA NPI 1700367596
- Konviser Dental Professional CorporationOral and Maxillofacial Surgery (Dentist) Marina Del Rey, CA NPI 1831670637
About NPI 1265913081
Konviser Dental Professional Corporation's National Provider Identifier is 1265913081, issued on Aug 29, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Marina Del Rey, CA. The record was last updated on Aug 29, 2018.