Michael Vincent Laureola Dds Inc in Los Angeles - Pediatric Dentistry

Michael Vincent Laureola Dds Inc - NPI 1316117104

Michael Vincent Laureola Dds Inc is a Pediatric Dentistry in Los Angeles, California. Michael Vincent Laureola Dds Inc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Michael Vincent Laureola Dds Inc is 1316117104. The last update date is 2023-06-08.

Michael Vincent Laureola Dds Inc's current location address is 12121 Wilshire Blvd Ste 1111, Los Angeles, California. You can contact this provider via phone number 3108209933 and fax number 3108200408. The mailing address for Michael Vincent Laureola Dds Inc is 12121 Wilshire Blvd Ste 1111, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michael Vincent Laureola Dds Inc
Address 12121 Wilshire Blvd Ste 1111, Los Angeles, California
Phone Number 3108209933
Fax Number 3108200408
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Laureola Vincent Michael
Telephone Number 3107925200

NPI Number Detail

NPI Number 1316117104
Provider Enumeration Date 2008-03-07
Last Updated Date 2023-06-08

Provider Mailing Address Detail

Address 12121 Wilshire Blvd Ste 1111
City Los Angeles
State California (CA)
Post Code 900251188
Phone Number 3108209933
Fax Number 3108200408

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 55121
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Michael Vincent Laureola Dds Inc

What is the Michael Vincent Laureola Dds Inc's 1316117104?

The Michael Vincent Laureola Dds Inc's NPI (National Provider Identifier) Number is 1316117104. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Michael Vincent Laureola Dds Inc is physically located?

The Michael Vincent Laureola Dds Inc is situated at the following address: 12121 Wilshire Blvd Ste 1111, Los Angeles, CA 900251188.

What is Michael Vincent Laureola Dds Inc's area of expertise and its corresponding taxonomy classification?

The Michael Vincent Laureola Dds Inc's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.

On what date did Michael Vincent Laureola Dds Inc receive its 1316117104 assignment from the Centers for Medicare & Medicaid Services?

The Michael Vincent Laureola Dds Inc was assigned its 1316117104 on 2008-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Michael Vincent Laureola Dds Inc most recently updated or revised?

The details related to Michael Vincent Laureola Dds Inc, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-08.

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