La Center for Oral & Maxiollofacial Surgery a Ca Gp
La Center for Oral & Maxiollofacial Surgery a Ca Gp is an Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
2080 Century Park E Ste 610Los Angeles, CA 90067-2009
Phone: (310) 914-9150
Fax: (310) 914-9705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence A97977 (CA) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence A97977 (CA) |
Record details
| NPI number | 1952672107 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven Kupferman — Medical Doctor · (310) 914-9150 |
| NPI enumerated | January 19, 2012 |
| Last updated in NPPES | January 19, 2012 |
| Mailing address | 2080 Century Park E Ste 610, Los Angeles, CA 90067-2009 |
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