Perio Implant Health Professionals in Los Angeles - Periodontics
Perio Implant Health Professionals - NPI 1992914196
Perio Implant Health Professionals is a Periodontics in Los Angeles, California. Perio Implant Health Professionals practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Perio Implant Health Professionals is 1992914196. The last update date is 2020-08-22.
Perio Implant Health Professionals's current location address is 1127 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 2134810664 and fax number 2134812902. The mailing address for Perio Implant Health Professionals is 1127 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Perio Implant Health Professionals |
|---|---|
| Address | 1127 Wilshire Blvd, Los Angeles, California |
| Phone Number | 2134810664 |
| Fax Number | 2134812902 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PERIODONTI |
|---|---|
| Authorized Official Name | Matoska William |
| Credentials | D.D.S. |
| Telephone Number | 2134810664 |
NPI Number Detail
| NPI Number | 1992914196 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1127 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900173901 |
| Phone Number | 2134810664 |
| Fax Number | 2134812902 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 26091 |
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Definition: 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 structure |
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What is the Perio Implant Health Professionals's 1992914196?
The Perio Implant Health Professionals's NPI (National Provider Identifier) Number is 1992914196. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Perio Implant Health Professionals's physical address?
The Perio Implant Health Professionals is physically located at 1127 Wilshire Blvd, in the city of Los Angeles, CA, with the postal code 900173901.
What is Perio Implant Health Professionals's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Perio Implant Health Professionals's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
When did Perio Implant Health Professionals receive its 1992914196 assignment?
The Perio Implant Health Professionals was assigned its 1992914196 on 2007-05-22, which is the date when this unique identifier was issued to the organization.
When was the Perio Implant Health Professionals's information last updated?
The Perio Implant Health Professionals's information was last updated on 2020-08-22.
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