Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mgdveladze DDS Inc

Organization Dental Clinic/Center · NPI 1205766342

Mgdveladze DDS Inc is a Dental Clinic/Center in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5710 W 83rd St
Los Angeles, CA 90045-4301
Phone: (424) 216-0718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1205766342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emiliia Mgdveladze — Chief Executive Officer · (424) 216-0718
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address5710 W 83rd St, Los Angeles, CA 90045-4301

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