Individual provider · Type 1 NPI
Prajna Banan
Prosthodontics · Los Angeles, CA
NPI number
1952902272
Active
Practice location
10833 Le Conte Ave Rm A0-156A
Los Angeles, CA 90095-3075
Mailing address
11411 Ohio Ave Apt 1
Los Angeles, CA 90025-3120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | DDS102179 (CA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1952902272
Prajna Banan's National Provider Identifier is 1952902272, issued on Nov 3, 2020. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 3, 2020.