is a Dentist Anesthesiologist in Los Angeles, California. practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for is 1952451106. The last update date is .
's current location address is 4226 S Figueroa St, Los Angeles, California. You can contact this provider via phone number 3104097163. The mailing address for is 4226 S Figueroa St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4226 S Figueroa St, Los Angeles, California |
| Phone Number | 3104097163 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1952451106 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4226 S Figueroa St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900372658 |
| Phone Number | 3104097163 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist Anesthesiologist |
|---|---|
| Taxonomy | 1223D0004X |
| Licence No | 44255 |
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Definition: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residenc |
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