Organization · Type 2 NPI

Ucla Periodontal Clinic

Periodontics · Los Angeles, CA

NPI number 1376641720 Active

Practice location

Ucla School Of Dentistry, Chs B0 130
Los Angeles, CA 90095-1668

Fax (310) 825-9653

Mailing address

10833 Le Conte Ave, Chs Bo 130
Los Angeles, CA 90095-1668

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X2059 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

5 other providers at this address

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About NPI 1376641720

Ucla Periodontal Clinic's National Provider Identifier is 1376641720, issued on Sep 20, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Angeles, CA. The record was last updated on May 10, 2021.