Individual provider · Type 1 NPI

Emiliia Mgdveladze, DDS

General Practice Dentistry · Los Angeles, CA

NPI number 1922705029 Active

Practice location

1440 W Manchester Ave
Los Angeles, CA 90047-5422

Call (323) 826-5542 Map

Mailing address

5710 W 83rd St
Los Angeles, CA 90045-4301

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X108568 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1922705029

Emiliia Mgdveladze, DDS's National Provider Identifier is 1922705029, issued on Feb 9, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on May 26, 2026.